Name: | Scott Pfitzer, MD, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 10 Apr 2014 (11 years ago) |
Entity Number: | 000-307-420 |
Register Number: | 000307420 |
County: | Madison |
Place of Formation: | Marshall County |
Principal Address: | 125 MISTEE DRBROWNSBORO, AL 35741 |
Principal Address ZIP Code: | 35741 |
Principal Mailing Address: | PO BOX 44ARAB, AL 35016 |
Principal Mailing Address ZIP Code: | 35016 |
Registered Office Street Address: | 1014 STONE DRIVEBROWNSBORO, AL 35741 |
Registered Office Street Address ZIP Code: | 35741 |
Registered Office Mailing Address: | PO BOX 116ARAB, AL 35016 |
Registered Office Mailing Address ZIP Code: | 35016 |
Activities
PHYSICIAL SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1447662242 | 2014-05-28 | 2014-05-28 | PO BOX 116, ARAB, AL, 350160116, US | 11491 US HIGHWAY 431, ALBERTVILLE, AL, 359500136, US | |||||||||||||||||||||||||
|
Phone | +1 256-505-6826 |
Fax | 2565821100 |
Authorized person
Name | SCOTT H PFITZER |
Role | MD/OWNER |
Phone | 2565056826 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
License Number | 30040 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | INDIVIDUAL NPI |
Number | 1326209685 |
State | AL |
Name | Role | Address |
---|---|---|
PFITZER, SCOTT | Agent | 870 8TH ST NEARAB, AL 35016 |
Name | Role | Address |
---|---|---|
PFITZER, SCOTT | Organizer | 870 8TH ST NEARAB, AL 35016 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State