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MJB, MD, LLC

Details

Name: MJB, MD, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 13 Sep 2013 (11 years ago)
Entity Number: 000-287-192
Register Number: 000287192
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 704 HERITAGE PARK LANDHOOVER, AL 35226
Registered Office Street Address ZIP Code: 35226

Activities PROVIDE MEDICAL CARE FOR NURSING HOMES/HOSPICE CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730510942 2013-12-13 2014-03-04 704 HERITAGE PARK LN, HOOVER, AL, 352264199, US 6450 OLD TUSCALOOSA HWY, MC CALLA, AL, 351113606, US

Contacts

Phone +1 205-873-1137
Phone +1 205-477-6161

Authorized person

Name DR. MICHAEL JAMES BURCH
Role PRESIDENT
Phone 2058731137

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 26222
State AL
Is Primary Yes

Agent

Name Role Address
BURCH, MICHAEL J Agent 704 HERITAGE PARK LANEHOOVER, AL 35226

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State