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Wellness Pain & Treatment Center, P.C.

Details

Name: Wellness Pain & Treatment Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 29 Apr 2002 (23 years ago)
Entity Number: 000-222-673
Register Number: 000222673
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: TUSCALOOSA, AL
Registered Office Street Address: 535 JACK WARNER PARKWAY STE G-3TUSCALOOSA, AL 35404
Registered Office Street Address ZIP Code: 35404
Authorized Capital: $5,000
Paid Share Capital: $1,000

Activities PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235329160 2007-07-26 2007-07-26 535 JACK WARNER PKWY NE, SUITE G1, TUSCALOOSA, AL, 354045751, US 535 JACK WARNER PKWY NE, SUITE G1, TUSCALOOSA, AL, 354045751, US

Contacts

Phone +1 205-462-0969
Fax 2055621936

Authorized person

Name DR. ELLIOT J RAMPULLA
Role PHYSICIAN
Phone 2054620969

Taxonomy

Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
License Number 00016409
State AL
Is Primary Yes

Agent

Name Role
RAMPULLA, ELLIOT J Agent

Incorporator

Name Role
RAMPULLA, ELLIOT J Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State