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