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
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 | |||||||||||||||||||
|
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 |
Name | Role |
---|---|
GBADEBO, BOLANLE OLAKUNLE | Agent |
Name | Role |
---|---|
GBADEBO, BOLANLE OLAKUNLE | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State