| Name: | Westfall Psychiatric Services, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 18 Aug 2010 (14 years ago) (Companies founded in August 2010) |
| Entity Number: | 000-265-024 |
| Register Number: | 000265024 |
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | HOMEWOOD, AL |
| Registered Office Street Address: | 811 FOREST DRHOMEWOOD, AL 35209 |
| Authorized Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194020024 | 2011-01-25 | 2011-01-25 | 1 INDEPENDENCE PLZ, STE 325, BIRMINGHAM, AL, 352092629, US | 1 INDEPENDENCE PLZ, SUITE 325, HOMEWOOD, AL, 352092629, US | |||||||||||||||||||
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| Phone | +1 205-623-2171 |
| Fax | 2054147030 |
Authorized person
| Name | JONATHAN MARK WESTFALL |
| Role | MD |
| Phone | 2056232171 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | 20087 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WESTFALL, J MARK | Agent |
| Name | Role |
|---|---|
| WESTFALL, J MARK | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
