| Name: | Montgomery Foot Care Specialists, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 29 Jan 1998 (27 years ago) (Companies founded in January 1998) |
| Entity Number: | 000-192-696 |
| Register Number: | 000192696 |
| ZIP code: | 36117 (Companies in Montgomery, 36117) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Mailing Address: | P.O. BOX 241768MONTGOMERY, AL 36124 |
| Registered Office Street Address: | 9036 HANSTON COURTMONTGOMERY, AL 36117 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
PODIATRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497773782 | 2006-07-17 | 2009-04-09 | 1831 HALCYON BLVD, MONTGOMERY, AL, 361178044, US | 1831 HALCYON BLVD., MONTGOMERY, AL, 361178044, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 334-396-3668 |
| Fax | 3343963660 |
Authorized person
| Name | DR. MICHAEL LAWRENCE ROSENBERG |
| Role | PRESIDENT |
| Phone | 3343963668 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | 185 AND 186 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UNITED HEALTH CARE |
| Number | 2710201 |
| State | AL |
| Issuer | MEDICARE RAILROAD |
| Number | 480026191 |
| State | AL |
| Issuer | BLUE CROSS OF ALABAMA |
| Number | 51079568 |
| State | AL |
| Issuer | BLUE CROSS OF ALABAMA |
| Number | 51079567 |
| State | AL |
| Issuer | MEDICARE RAILROAD |
| Number | 480025888 |
| State | AL |
| Name | Role |
|---|---|
| HEIDI M. CHRISTIE | Agent |
| Name | Role |
|---|---|
| SMITH, JEROME D | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
