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Cullman Professional Resources, Inc.

Details

Name: Cullman Professional Resources, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 22 Nov 1999 (25 years ago)
Date of dissolution: 03 Sep 2008
Entity Number: 000-206-264
Register Number: 000206264
County: Cullman
Place of Formation: Cullman County
Principal Address: CULLMAN, AL
Registered Office Street Address: 530 COUNTY RD 225CULLMAN, AL 35057
Registered Office Street Address ZIP Code: 35057
Authorized Capital: 1,000

Activities MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154338788 2006-08-03 2020-08-22 131 GOLFVIEW DR NE, ARAB, AL, 350165473, US 131 GOLFVIEW DR NE, ARAB, AL, 350165473, US

Contacts

Phone +1 256-931-2307

Authorized person

Name NICHOLAS T MANSUETTA
Role OWNER
Phone 2569312307

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number DO575
State AL
Is Primary Yes

Agent

Name Role
MANSUETTA, CHERI T Agent

Incorporator

Name Role
MANSUETTA, CHERI T Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State