Name: | Hillside Family Practice, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Dissolved |
Date of registration: | 21 Feb 2008 (17 years ago) (Companies founded in February 2008) |
Date of dissolution: | 31 Dec 2019 |
Entity Number: | 000-256-210 |
Register Number: | 000256210 |
ZIP code: | 36467 (Companies in Covington, 36467) |
County: | Covington |
Place of Formation: | Covington County |
Principal Address: | OPP, AL |
Registered Office Street Address: | 103 EAST MEMORIAL DROPP, AL 36467 |
Authorized Capital: | $500 |
Paid Share Capital: | $100 |
Activities
MEDICAL PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1255504866 | 2008-04-04 | 2015-08-28 | 1008 BOLL WEEVIL CIR, SUITE B, ENTERPRISE, AL, 363301312, US | 1008 BOLL WEEVIL CIR, SUITE B, ENTERPRISE, AL, 363301312, US | |||||||||||||||||
|
Phone | +1 334-475-2067 |
Authorized person
Name | DAVID RYAN |
Role | OWNER |
Phone | 3344752067 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | DO1000 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
RYAN, DAVID N ARTHUR | Agent |
Name | Role |
---|---|
RYAN, DAVID N ARTHUR | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State