| Name: | Rosewood Emergency Physicians, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Aug 2015 (9 years ago) (Companies founded in August 2015) |
| Entity Number: | 000-342-067 |
| Register Number: | 000342067 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366802639 | 2016-03-01 | 2016-03-01 | PO BOX 80043, PHILADELPHIA, PA, 191011043, US | 295 S JACKSON ST, GROVE HILL, AL, 364513231, US | |||||||||||||||||||||
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| Phone | +1 469-401-2386 |
Authorized person
| Name | TENNA BEHM |
| Role | OFFICER |
| Phone | 4694012386 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| WILSON, CRAIG A | Organizer |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
