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Hope West PC

Details

Name: Hope West PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 18 Jun 2007 (17 years ago)
Date of dissolution: 09 Aug 2019
Entity Number: 000-253-088
Register Number: 000253088
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 4528 SWALLOW PLACEBIRMINGHAM, AL 35213
Registered Office Street Address ZIP Code: 35213
Authorized Capital: 100

Activities MEDIAL PSYCHIATRIC SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194910158 2007-09-12 2007-09-12 PO BOX 100845, IRONDALE, AL, 352100845, US 985 9TH AVE SW, SUITE 201, BESSEMER, AL, 350224500, US

Contacts

Phone +1 205-481-8555
Fax 2054818558

Authorized person

Name DR. NAILA SIDDIQUI
Role OWNER/M.D
Phone 2054818555

Taxonomy

Taxonomy Code 2084P0804X - Child & Adolescent Psychiatry Physician
License Number 25337
State AL
Is Primary Yes

Agent

Name Role
BELOTSERKOVSKIY, AL Agent

Incorporator

Name Role Address
SIDDIQUI, NAILA Incorporator 4305 MILNER ROAD WESTBIRMINGHAM, AL 35242

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State