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Jasper Doctors Clinic Urgent Care Inc.

Details

Name: Jasper Doctors Clinic Urgent Care Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 21 Mar 2008 (17 years ago) (Companies founded in March 2008)
Date of dissolution: 17 Aug 2009
Entity Number: 000-257-975
Register Number: 000257975
ZIP code: 35504 (Companies in Walker, 35504)
County: Walker
Place of Formation: Walker County
Principal Address: JASPER, AL
Registered Office Street Address: 135 NORTHWOOD DRIVEJASPER, AL 35504
Authorized Capital: 100

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831353846 2008-07-18 2008-07-21 4330 HIGHWAY 78 E STE 115, MEDICAL PLAZA EAST 114-115, JASPER, AL, 355018955, US 4330 HIGHWAY 78 E STE 115, MEDICAL PLAZA EAST 114-115, JASPER, AL, 355018955, US

Contacts

Phone +1 205-295-0002
Fax 2052950991

Authorized person

Name BOLANLE O. GBADEBO
Role OWNER
Phone 2052950002

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number MEDICAID 102173
State AL
Is Primary Yes

Agent

Name Role
GBADEBO, BOLANLE OLAKUNLE Agent

Incorporator

Name Role
GBADEBO, BOLANLE OLAKUNLE Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State