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Fairhope Vein Treatment Center, LLC

Details

Name: Fairhope Vein Treatment Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 27 Jun 2013 (11 years ago) (Companies founded in June 2013)
Date of dissolution: 07 Jul 2020
Entity Number: 000-281-977
Register Number: 000281977
ZIP code: 36352 (Companies in Dale, 36352)
County: Dale
Place of Formation: Houston County
Registered Office Street Address: 2186 WINDMILL ROADNEWTON, AL 36352

Activities MEDICAL & SURGICAL TREATMENT OF VENOUS DISEASES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205251618 2014-02-20 2014-02-20 341 GREENO RD N, FAIRHOPE, AL, 365322979, US 341 GREENO RD N, FAIRHOPE, AL, 365322979, US

Contacts

Phone +1 334-618-2237

Authorized person

Name DR. RODNEY ALLEN SIRK
Role OWNER
Phone 3346182237

Taxonomy

Taxonomy Code 202K00000X - Phlebology Physician
License Number 30273
State AL
Is Primary Yes

Agent

Name Role
SIRK, RODNEY A Agent

Organizer

Name Role Address
SIRK, RODNEY A Organizer No data
BAXLEY, M HAMPTON Organizer 212 WEST TROY STREETDOTHAN, AL 36303

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State