| Name: | Roger Scott Herrin Inc |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 25 Jan 2016 (9 years ago) (Companies founded in January 2016) |
| Entity Number: | 000-358-844 |
| Register Number: | 000358844 |
| ZIP code: | 35803 (Companies in Madison, 35803) |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 13008 ASTALOT DRIVEHUNTSVILLE, AL 35803 |
| Authorized Capital: | 1000 @ 1.00 PV |
Activities
MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508228560 | 2016-03-28 | 2016-03-28 | 13008 ASTALOT DR SE, HUNTSVILLE, AL, 358031802, US | 2701 MERIDIAN ST N, HUNTSVILLE, AL, 358111845, US | |||||||||||||||||||||||
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| Phone | +1 256-851-2807 |
| Fax | 2568412967 |
| Fax | 2568512967 |
Authorized person
| Name | MR. ROGER SCOTT HERRIN |
| Role | OWNER |
| Phone | 2568512807 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 363L00000X |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HERRIN, ROGER S | Agent | 13008 ASTALOT DRIVEHUNTSVILLE, AL 35803 |
| Name | Role | Address |
|---|---|---|
| HERRIN, ROGER S | Director | 13008 ASTALOT DRIVEHUNTSVILLE, AL 35803 |
| Name | Role | Address |
|---|---|---|
| HERRIN, ROGER S | Incorporator | 13008 ASTALOT DRIVEHUNTSVILLE, AL 35803 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
