| Name: | Decatur Orthopaedics Specialists, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 01 Mar 1999 (26 years ago) (Companies founded in March 1999) |
| Date of dissolution: | 14 Jan 2015 |
| Entity Number: | 000-201-199 |
| Register Number: | 000201199 |
| ZIP code: | 35601 (Companies in Morgan, 35601) |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Registered Office Street Address: | 1874 BELTLINE ROAD SWDECATUR, AL 35601 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,000 |
Activities
RENDER PROFESSIONAL MEDICAL SERVICES TO THE PUBLIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043388374 | 2006-12-04 | 2013-12-29 | PO BOX 5776, DECATUR, AL, 356010776, US | 3402 VESTAVIA CIR SW, DECATUR, AL, 356034604, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 256-353-8811 |
| Fax | 2563016196 |
| Phone | +1 256-318-8811 |
| Fax | 2563503632 |
Authorized person
| Name | DR. JAY RICHARD SOLORIO |
| Role | PRESIDENT OWNER |
| Phone | 2563188811 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | 13433 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 13433 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009972325 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529905110 |
| State | AL |
| Issuer | BCBS DECATUR OFFICE |
| Number | 051060664 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529905120 |
| State | AL |
| Issuer | MEDICAID |
| Number | 000060664 |
| State | AL |
| Issuer | MEDICAID |
| Number | 000092359 |
| State | AL |
| Issuer | BCBS HARTSELLE OFFICE |
| Number | 051092359 |
| State | AL |
| Name | Role |
|---|---|
| SOLORIO, JAY R | Agent |
| Name | Role |
|---|---|
| SOLORIO, JAY R | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
