Name: | Y. Choi, MD, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Dissolved |
Date of registration: | 10 Dec 2007 (17 years ago) (Companies founded in December 2007) |
Date of dissolution: | 25 Apr 2014 |
Entity Number: | 000-255-379 |
Register Number: | 000255379 |
ZIP code: | 35209 (Companies in Jefferson, 35209) |
County: | Jefferson |
Place of Formation: | Jefferson County |
Principal Address: | BIRMINGHAM, AL |
Registered Office Street Address: | 250 STATE FARM PKWYBIRMINGHAM, AL 35209 |
Authorized Capital: | $1,000 |
Activities
MEDICAL PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326221458 | 2007-12-12 | 2008-06-12 | 250 STATE FARM PKWY, BIRMINGHAM, AL, 352097181, US | 250 STATE FARM PKWY, BIRMINGHAM, AL, 352097181, US | |||||||||||||||||||||||||
|
Phone | +1 205-943-4600 |
Fax | 2059434688 |
Authorized person
Name | DR. YOUNG HWAN CHOI |
Role | OWNER/PRESIDENT |
Phone | 2059434600 |
Taxonomy
Taxonomy Code | 207W00000X - Ophthalmology Physician |
License Number | MD28466 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1326221458 |
State | AL |
Name | Role | Address |
---|---|---|
BOWDRE, J BIRCH | Incorporator | 800 SHADES CREEK PKWY STE 400BIRMINGHAM, AL 35209 |
Name | Role |
---|---|
CHOI, YOUNG HWAN | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State