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Alabama Orthopedic Institute, Inc.

Details

Name: Alabama Orthopedic Institute, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 26 Mar 2002 (23 years ago) (Companies founded in March 2002)
Entity Number: 000-221-975
Register Number: 000221975
ZIP code: 35179 (Companies in Cullman, 35179)
County: Cullman
Place of Formation: Cullman County
Principal Address: VINEMONT, AL
Registered Office Street Address: 190 CO RD 1335VINEMONT, AL 35179
Authorized Capital: $100
Paid Share Capital: $100

Activities TO CARRY OUT ALL MEDICAL PROCEDURES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073620886 2006-08-25 2019-12-31 1908 CHEROKEE AVE SW, CULLMAN, AL, 350555502, US 1908 CHEROKEE AVE SW, CULLMAN, AL, 350555502, US

Contacts

Phone +1 256-734-4700
Fax 2567361458

Authorized person

Name STEVEN B FULLER
Role PRESIDENT/OWNER
Phone 2567344700

Taxonomy

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

Other Provider Identifiers

Issuer MEDICAID
Number 051510407
State AL

Agent

Name Role
FULLER, STEVEN B Agent

Incorporator

Name Role
FULLER, STEVEN B Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State