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Dr. Daniel Laeupple, LLC

Details

Name: Dr. Daniel Laeupple, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Feb 2015 (10 years ago)
Entity Number: 000-327-144
Register Number: 000327144
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 201 WALDEN GLEN RDMADISON, AL 35758
Registered Office Street Address ZIP Code: 35758

Activities NOT PROVIDED

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710490875 2017-11-13 2017-11-13 708 WILL HALSEY WAY STE C, MADISON, AL, 357582566, US 708 WILL HALSEY WAY STE C, MADISON, AL, 357582566, US

Contacts

Phone +1 256-325-1349
Fax 2563251354

Authorized person

Name DANIEL LAEUPPLE
Role OWNER
Phone 2563251349

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
License Number 23614
State AL
Is Primary Yes

Agent

Name Role
LAEUPPLE, DANIEL Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State