| Name: | Rush Physical Medicine, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Apr 2014 (11 years ago) |
| Entity Number: | 000-306-861 |
| Register Number: | 000306861 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 206 WENTWORTH STREETFAIRHOPE, AL 36532 |
| Registered Office Street Address ZIP Code: | 36532 |
Activities
MEDICAL CLINIC AND/OR MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386064418 | 2014-04-16 | 2014-04-16 | 1400 N MCKENZIE ST, FOLEY, AL, 365352234, US | 1400 N MCKENZIE ST, FOLEY, AL, 365352234, US | |||||||||||||||||||
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| Phone | +1 251-424-1200 |
| Fax | 2514241201 |
Authorized person
| Name | DR. LESLIE VAUGHN RUSH III |
| Role | OWNER |
| Phone | 2514241200 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | DO.562 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| RUSH, LESLIE V III | Agent |
| Name | Role | Address |
|---|---|---|
| RUSH, LESLIE VAUGHAN III | Organizer | 206 WENTWORTH STREETFAIRHOPE, AL 36532 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
