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Don E. Heinkel, M.D., P.C.

Details

Name: Don E. Heinkel, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 29 Nov 2004 (20 years ago) (Companies founded in November 2004)
Date of dissolution: 19 Dec 2008
Entity Number: 000-238-580
Register Number: 000238580
ZIP code: 35611 (Companies in Limestone, 35611)
County: Limestone
Place of Formation: Limestone County
Principal Address: ATHENS, AL
Registered Office Street Address: 108 SANDERS STATHENS, AL 35611
Authorized Capital: $10,000

Activities FAMILY MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588732622 2006-11-30 2020-08-22 108 SANDERS ST, ATHENS, AL, 356112459, US 108 SANDERS ST, ATHENS, AL, 356112459, US

Contacts

Phone +1 256-232-0636
Fax 2562321058

Authorized person

Name JUNE COLLINS
Role OFFICE MANAGER
Phone 2562320636

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 26335
State AL
Is Primary Yes

Other Provider Identifiers

Issuer RAILROAD MEDICARE NUMBER
Number DC7181
State AL

Agent

Name Role
HEINKEL, DON E Agent

Incorporator

Name Role
HEINKEL, DON E Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State