| Name: | ENT Consultants |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 01 Sep 2000 (24 years ago) (Companies founded in September 2000) |
| Entity Number: | 000-211-926 |
| Register Number: | 000211926 |
| ZIP code: | 36701 (Companies in Dallas, 36701) |
| County: | Dallas |
| Place of Formation: | Dallas County |
| Principal Address: | SELMA, AL |
| Registered Office Street Address: | 731 DALLAS AVESELMA, AL 36701 |
| Authorized Capital: | 1,000 |
Activities
DIAGNOSIS/TREATMENT OF PATIENTS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538220736 | 2006-12-12 | 2011-09-08 | 731 DALLAS AVE, SELMA, AL, 367015452, US | 731 DALLAS AVE, SELMA, AL, 367015452, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 334-872-4778 |
| Fax | 3348728646 |
Authorized person
| Name | DR. OSASERE LAMBERT AGHEDO |
| Role | PRESIDENT |
| Phone | 3348724778 |
Taxonomy
| Taxonomy Code | 207YX0602X - Otolaryngic Allergy Physician |
| License Number | DO-644 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009918380 |
| State | AL |
| Issuer | BCBS |
| Number | 51039993 |
| State | AL |
| Issuer | PALMETTO RR MEDICARE |
| Number | 040014607 |
| State | AL |
| Name | Role |
|---|---|
| AGHEDO, O | Agent |
| Name | Role |
|---|---|
| AGHEDO, O | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
