| Name: | Alabama Allergy & Asthma Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 07 Aug 1997 (27 years ago) |
| Entity Number: | 000-189-519 |
| Register Number: | 000189519 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 4284 LOMAC STREETMONTGOMERY, AL 36106 |
| Registered Office Street Address ZIP Code: | 36106 |
| Authorized Capital: | $5,000 |
Activities
PROFESSIONAL PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912062803 | 2006-12-22 | 2021-05-11 | 4284 LOMAC ST, MONTGOMERY, AL, 361063604, US | 4284 LOMAC ST, MONTGOMERY, AL, 361063604, US | |||||||||||||||||||||||||||||
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| Phone | +1 334-272-6062 |
Authorized person
| Name | MRS. JONA STEELMAN |
| Role | PRACTICE MANAGER |
| Phone | 3342726062 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 00013557 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529801150 |
| State | AL |
| Issuer | BCBS |
| Number | 51076445 |
| State | AL |
| Name | Role |
|---|---|
| MEADOWS, J ALLEN | Agent |
| Name | Role |
|---|---|
| MEADOWS, J ALLEN | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
