| Name: | Norman D. Ervin, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 21 Jun 2000 (24 years ago) |
| Entity Number: | 000-210-573 |
| Register Number: | 000210573 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HAMPTON COVE, AL |
| Registered Office Street Address: | 3007 AUGUSTA TRACEHAMPTON COVE, AL 35763 |
| Registered Office Street Address ZIP Code: | 35763 |
| Authorized Capital: | $100 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053637348 | 2010-04-13 | 2010-04-13 | 101 BOB WALLACE AVE SW, SUITE B, HUNTSVILLE, AL, 358013847, US | 101 BOB WALLACE AVE SW, SUITE B, HUNTSVILLE, AL, 358013847, US | |||||||||||||||||
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| Phone | +1 256-533-2303 |
Authorized person
| Name | DR. NORMAN DUANE ERVIN |
| Role | PRESIDENT |
| Phone | 2565332303 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 10392 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ERVIN, NORMAN D | Agent |
| Name | Role |
|---|---|
| ERVIN, NORMAN D | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
