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Bear Creek Anesthesia, Inc.

Details

Name: Bear Creek Anesthesia, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 19 Sep 2003 (21 years ago)
Date of dissolution: 11 Dec 2020
Entity Number: 000-231-014
Register Number: 000231014
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: FLORENCE, AL
Registered Office Street Address: 216 S MARENGO STFLORENCE, AL 35630
Registered Office Street Address ZIP Code: 35630
Authorized Capital: $100

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588614234 2006-05-12 2020-08-22 216 MARENGO ST, C, FLORENCE, AL, 356306012, US 15155 HIGHWAY 43, RUSSELLVILLE, AL, 356531975, US

Contacts

Phone +1 256-764-9697
Fax 2567649699
Phone +1 256-332-8679
Fax 2563328674

Authorized person

Name BILL NUNNELLY
Role PRESIDENT
Phone 2567649697

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes

Agent

Name Role
NUNNELLY, WILLIAM T Agent

Incorporator

Name Role
NUNNELLY, WILLIAM T Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State