| Name: | Alabama Nasal & Sinus Center, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 18 Mar 2005 (20 years ago) |
| Entity Number: | 000-240-460 |
| Register Number: | 000240460 |
| Historical Names: |
Michael J. Sillers, M.D., P.C.
|
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 7191 CAHABA VALLEY RD STE 301BIRMINGHAM, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
| Authorized Capital: | $500 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992970685 | 2008-04-24 | 2012-02-21 | 7191 CAHABA VALLEY RD, SUITE 301, BIRMINGHAM, AL, 352426402, US | 7191 CAHABA VALLEY RD, SUITE 301, BIRMINGHAM, AL, 352426402, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 205-980-2091 |
| Fax | 2059802196 |
Authorized person
| Name | DR. MICHAEL J SILLERS |
| Role | OWNER/DIRECTOR/PHYSICIAN |
| Phone | 2059802091 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 14772 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | 1992970685 |
| State | AL |
| Issuer | RAILROAD MEDICARE |
| Number | 1992970685 |
| State | AL |
| Name | Role |
|---|---|
| SILLERS, MICHAEL J | Agent |
| Name | Role |
|---|---|
| SILLERS, MICHAEL J | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2005-11-15 | Name Change | Michael J. Sillers, M.D., P.C. | Alabama Nasal & Sinus Center, P.C. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
