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John E. Fanning, MD, Inc.

Details

Name: John E. Fanning, MD, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 09 Jun 2016 (8 years ago)
Date of dissolution: 30 Dec 2019
Entity Number: 000-365-073
Register Number: 000365073
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 420 LOWELL DRIVE SUITE 105HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: 10000 @ $0.01PV

Activities ANY OR ALL LAWFUL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275984916 2016-06-23 2016-06-23 420 LOWELL DR SE, STE 103, HUNTSVILLE, AL, 358013754, US 420 LOWELL DR SE, SUITE 105, HUNTSVILLE, AL, 358013754, US

Contacts

Phone +1 256-535-5970

Authorized person

Name JOHN E FANNING
Role OWNER
Phone 2565355940

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 22224
State AL
Is Primary Yes

Agent

Name Role Address
FANNING, JOHN E Agent 8107 LOUIS DRIVE SEHUNTSVILLE, AL 35802

Director

Name Role Address
FANNING, JOHN E Director 8107 LOUIS DRIVE SEHUNTSVILLE, AL 35802

Incorporator

Name Role Address
FANNING, JOHN E Incorporator 8107 LOUIS DRIVE SEHUNTSVILLE, AL 35802

Date of last update: 04 Aug 2024

Sources: Alabama Secretary of State