| Name: | SAMUEL E. FLEMING, PHD & ASSOCIATES, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Apr 2016 (9 years ago) (Companies founded in April 2016) |
| Entity Number: | 000-360-174 |
| Register Number: | 000360174 |
| ZIP code: | 35901 (Companies in Etowah, 35901) |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Registered Office Street Address: | 213 SOUTH 5TH STREETGADSDEN, AL 35901 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215389341 | 2016-07-13 | 2016-07-13 | PO BOX 428, GADSDEN, AL, 359020428, US | 213 S 5TH ST, GADSDEN, AL, 359014217, US | |||||||||||||||||||||||||
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| Phone | +1 256-952-2819 |
| Fax | 2569522824 |
Authorized person
| Name | DR. SAMUEL E FLEMING III |
| Role | OWNER |
| Phone | 2569522819 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | 1867 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 159493 |
| State | AL |
| Name | Role |
|---|---|
| FLEMING, SAMUEL E III | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
