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Huntsville Center for Sight, P.C.

Details

Name: Huntsville Center for Sight, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 28 Jul 1997 (27 years ago)
Date of dissolution: 23 Apr 2015
Entity Number: 000-189-169
Register Number: 000189169
Historical Names: Craig K. Thorstad, M.D., P.C.
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 2876 BOB WALLACE AVENUEHUNTSVILLE, AL 35805
Registered Office Street Address ZIP Code: 35805
Authorized Capital: $5,000
Paid Share Capital: $1,000

Activities PHYSICIAN

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649470444 2007-07-19 2008-11-05 2780 BOB WALLACE AVE SW, HUNTSVILLE, AL, 358054104, US 2780 BOB WALLACE AVE SW, HUNTSVILLE, AL, 358054104, US

Contacts

Phone +1 256-536-7483
Fax 2565367586

Authorized person

Name DR. CRAIG K THORSTAD
Role MD OWNER
Phone 2565367483

Taxonomy

Taxonomy Code 207W00000X - Ophthalmology Physician
License Number 9761
State AL
Is Primary Yes

Other Provider Identifiers

Issuer NPI FOR DR CRAIG THORSTA
Number 1215997143
State AL
Issuer NPI FOR DR WALTER HUBICKE
Number 316906969
State AL

Agent

Name Role
THORSTAD, CRAIG K Agent

Incorporator

Name Role
THORSTAD, CRAIG K Incorporator

Events

Event Date Event Type Old Value New Value
1998-11-23 Name Change Craig K. Thorstad, M.D., P.C. Huntsville Center for Sight, P.C.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State