| Name: | KRICHEV FAMILY MEDICINE, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 11 May 2005 (20 years ago) (Companies founded in May 2005) |
| Entity Number: | 000-241-460 |
| Register Number: | 000241460 |
| ZIP code: | 35741 (Companies in Madison, 35741) |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | BROWNSBORO, AL |
| Registered Office Street Address: | 5540 HIGHWAY 431 SOUTHBROWNSBORO, AL 35741 |
| Authorized Capital: | $1,000 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740305952 | 2007-03-20 | 2010-12-15 | 5540 HIGHWAY 431 S, BROWNSBORO, AL, 357419771, US | 5540 HIGHWAY 431 S, BROWNSBORO, AL, 357419771, US | |||||||||||||||||||||||||||
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| Phone | +1 256-533-3003 |
| Fax | 2565333013 |
Authorized person
| Name | DR. JONATHAN EDWARD KRICHEV |
| Role | PRESIDENT |
| Phone | 2565333003 |
Taxonomy
| Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
| License Number | 25501 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 25501 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| KRICHEV, JOHNATHAN E | Agent |
| Name | Role |
|---|---|
| KRICHEV, JONATHAN E | Incorporator |
| KRICHEV, ALICIA K | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
