| Name: | Pulmonary and Sleep Associates of Jasper, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 07 Jul 1997 (27 years ago) |
| Entity Number: | 000-188-999 |
| Register Number: | 000188999 |
| County: | Walker |
| Place of Formation: | Walker County |
| Principal Address: | JASPER, AL |
| Registered Office Street Address: | STE 401 MEDICAL ARTS TOWERJASPER, AL 35501 |
| Registered Office Street Address ZIP Code: | 35501 |
| Authorized Capital: | $10 |
Activities
SPECIALIZE IN THE PRACTICE OF PULMONOLOGY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669410700 | 2006-06-02 | 2010-07-13 | 1280 SUMMIT DR., JASPER, AL, 355010102, US | 1280 SUMMIT DR., JASPER, AL, 355010102, US | |||||||||||||||||||||
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| Phone | +1 205-387-7555 |
| Fax | 2053877551 |
Authorized person
| Name | JAN H WESTERMAN |
| Role | PRESIDENT |
| Phone | 2053877555 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529703220 |
| State | AL |
| Name | Role |
|---|---|
| WESTERMAN, JAN H | Agent |
| Name | Role | Address |
|---|---|---|
| POOL, JAMES M | Incorporator | 1901 SIXTH AVENUE NORTH/2400 REGIONSBIRMINGHAM, AL 35203-2618 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
