| Name: | Valley Center for Nerve Studies and Rehabilitation, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 15 Jan 2009 (16 years ago) |
| Date of dissolution: | 23 Dec 2022 |
| Entity Number: | 000-259-735 |
| Register Number: | 000259735 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 2011 GALLATIN STHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $500 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336470293 | 2010-01-15 | 2010-01-15 | PO BOX 18364, HUNTSVILLE, AL, 358048364, US | 2101 MAGNOLIA AVE SOUTH, SUITE 411, BIRMINGHAM, AL, 35298, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-382-1603 |
| Fax | 2563821607 |
Authorized person
| Name | DR. ERIC R BECK |
| Role | OWNER |
| Phone | 2563821603 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | 18624 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PCAN |
| Number | 000023502 |
| State | AL |
| Issuer | MEDICAID |
| Number | 000023502 |
| State | AL |
| Issuer | NPI FOR ERIC R BECK, MD |
| Number | 1740238112 |
| State | AL |
| Issuer | BLUE CROSS OF ALABAMA UPIN |
| Number | F55413 |
| State | AL |
| Name | Role |
|---|---|
| BECK, ERIC | Agent |
| Name | Role |
|---|---|
| BECK, ERIC | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
