Name: | Chris B. Russell M.D., P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 01 Apr 2003 (22 years ago) |
Entity Number: | 000-228-314 |
Register Number: | 000228314 |
County: | Madison |
Place of Formation: | Madison County |
Principal Address: | HUNTSVILLE, AL |
Registered Office Street Address: | 204 LOWE AVE STE 6 BLDG 2HUNTSVILLE, AL 35801 |
Registered Office Street Address ZIP Code: | 35801 |
Authorized Capital: | $10,000 |
Activities
MEDICINE PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1386784007 | 2007-02-08 | 2020-08-22 | 204 LOWE AVE SE, SUITE 6, BLDG 2, HUNTSVILLE, AL, 358014262, US | 204 LOWE AVE SE, SUITE 6, BLDG 2, HUNTSVILLE, AL, 358014262, US | |||||||||||||||||||
|
Phone | +1 256-533-0856 |
Fax | 2565337981 |
Authorized person
Name | DR. CHRIS B RUSSELL |
Role | PRESIDENT |
Phone | 2565330856 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
License Number | 15044 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
RUSSELL, CHRIS B | Agent |
Name | Role |
---|---|
RUSSELL, CHRIS B | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State