| Name: | Scott Pfitzer, MD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Apr 2014 (11 years ago) (Companies founded in April 2014) |
| Entity Number: | 000-307-420 |
| Register Number: | 000307420 |
| ZIP code: | 35741 (Companies in Madison, 35741) |
| County: | Madison |
| Place of Formation: | Marshall County |
| Principal Address: | 125 MISTEE DRBROWNSBORO, AL 35741 |
| Principal Mailing Address: | PO BOX 44ARAB, AL 35016 |
| Registered Office Street Address: | 1014 STONE DRIVEBROWNSBORO, AL 35741 |
| Registered Office Mailing Address: | PO BOX 116ARAB, AL 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
