| Name: | Phillip Guthery Enterprises, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 23 Sep 1999 (25 years ago) (Companies founded in September 1999) |
| Entity Number: | 000-205-317 |
| Register Number: | 000205317 |
| Place of Formation: | Cullman County |
| Principal Address: | CULLMAN, AL |
| Registered Office Street Address: | 108 FIRST ST SWCULLMAN, AL 35505 |
| Authorized Capital: | 500 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548433865 | 2008-04-08 | 2008-06-16 | 100 7TH ST SW STE B, CULLMAN, AL, 350554265, US | 100 7TH ST SW STE B, CULLMAN, AL, 350554265, US | |||||||||||||||||||||||
|
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| Phone | +1 256-775-3937 |
Authorized person
| Name | PHILLIP MICHAEL GUTHERY |
| Role | PRESIDENT OWNER |
| Phone | 2567753937 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S791 TA327 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529909310 |
| State | AL |
| Name | Role |
|---|---|
| GUTHERY, PHILLIP | Agent |
| Name | Role |
|---|---|
| GUTHERY, PHILLIP | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
