| Name: | Philip J. Fischer, II, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 02 Feb 2005 (20 years ago) (Companies founded in February 2005) |
| Entity Number: | 000-239-614 |
| Register Number: | 000239614 |
| ZIP code: | 35205 (Companies in Jefferson, 35205) |
| County: | Jefferson |
| Place of Formation: | Montgomery County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 800 ST VINCENT'S DR STE 630 N TOWERBIRMINGHAM, AL 35205 |
| Authorized Capital: | $1,000 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275733842 | 2007-07-23 | 2007-08-02 | 800 SAINT VINCENTS DR, SUITE 630 NORTH TOWER, BIRMINGHAM, AL, 352051620, US | 800 SAINT VINCENTS DR, SUITE 630 NORTH TOWER, BIRMINGHAM, AL, 352051620, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 205-939-6888 |
Authorized person
| Name | MRS. TERESA KEETON |
| Role | OFFICE MANAGER |
| Phone | 2059396888 |
Taxonomy
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| License Number | 00021924 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 7727323 |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD OF |
| Number | 51526308 |
| State | AL |
| Name | Role |
|---|---|
| FISCHER, PHILIP J | Agent |
| Name | Role | Address |
|---|---|---|
| CHRISTIAN, EDWARD R | Incorporator | 420 20TH ST N STE 3400BIRMINGHAM, AL 35203 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
