| Name: | Valley Spine & Pain, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Dec 2016 (8 years ago) (Companies founded in December 2016) |
| Entity Number: | 000-378-693 |
| Register Number: | 000378693 |
| ZIP code: | 35950 (Companies in Marshall, 35950) |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Registered Office Street Address: | 203 SOUTH HAMBRICK STREETALBERTVILLE, AL 35950 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356885362 | 2016-12-09 | 2018-05-31 | PO BOX 18545, HUNTSVILLE, AL, 358048545, US | 2227 DRAKE AVE SW STE 7B, HUNTSVILLE, AL, 35805, US | |||||||||||||||||||||||||||
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| Phone | +1 256-907-2493 |
| Fax | 2562818134 |
Authorized person
| Name | JOHN HORNBUCKLE |
| Role | OWNER |
| Phone | 2569072493 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | 186204 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | 31801 |
| State | AL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ROEDER, MATTHEW | Agent | 203 SOUTH HAMBRICK STREETALBERTVILLE, AL 35950 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
