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Anne Bauer, M.D., P.C.

Details

Name: Anne Bauer, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 02 Nov 2010 (14 years ago)
Date of dissolution: 24 Aug 2011
Entity Number: 000-265-684
Register Number: 000265684
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 204 LOWE AVE BLDG 1 STE 2HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $10,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144523648 2010-12-06 2010-12-06 PO BOX 6364, HUNTSVILLE, AL, 358130364, US 204 LOWE AVE. BLDG 1 SUITE 2, HUNTSVILLE, AL, 35801, US

Contacts

Phone +1 256-890-0445
Phone +1 256-536-8689

Authorized person

Name DR. ANNE ELIZABETH BAUER
Role PRESIDENT
Phone 2568900445

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number 15516
State AL
Is Primary Yes

Agent

Name Role
BAUER, ANNE Agent

Incorporator

Name Role
BAUER, ANNE Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State