| Name: | Martin Foot Specialists, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 16 Jul 1997 (27 years ago) |
| Entity Number: | 000-188-886 |
| Register Number: | 000188886 |
| County: | Colbert |
| Place of Formation: | Colbert County |
| Principal Address: | MUSCLE SHOALS, AL |
| Registered Office Street Address: | 102 PHYSICIANS DRIVEMUSCLE SHOALS, AL 35661 |
| Registered Office Street Address ZIP Code: | 35661 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $1,000 |
Activities
STUDY/DIAGNOSIS/TREATMENT HUMAN FOOT AILMENTS AND INJURIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174741573 | 2007-04-23 | 2008-02-25 | 426 COX BLVD, SHEFFIELD, AL, 356604000, US | 426 COX BLVD, SHEFFIELD, AL, 356604000, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 256-389-1990 |
Authorized person
| Name | DR. KENT S MARTIN |
| Role | PRESIDENT |
| Phone | 2563891990 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | 169 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS & BLUE SHIELD |
| Number | 51078987 |
| State | AL |
| Name | Role |
|---|---|
| MARTIN, KENT S | Agent |
| Name | Role |
|---|---|
| MARTIN, KENT S | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
