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Brain Wave Solution Alabama, LLC

Details

Name: Brain Wave Solution Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Series Limited Liability Company
Status: Exists
Date of registration: 04 Aug 2017 (7 years ago) (Companies founded in August 2017)
Entity Number: 000-398-456
Register Number: 000398456
ZIP code: 36106 (Companies in Montgomery, 36106)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 1510 FOREST AVENUEMONTGOMERY, AL 36106

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780109892 2017-08-09 2017-08-09 PO BOX 6205, MONTGOMERY, AL, 361060205, US 102 MEDICAL CENTER DR STE D, PRATTVILLE, AL, 360667286, US

Contacts

Phone +1 334-396-0201
Fax 3343960210

Authorized person

Name ROSA J BELL
Role OWNER
Phone 3343960201

Taxonomy

Taxonomy Code 2084N0400X - Neurology Physician
Is Primary Yes

Agent

Name Role Address
ESMAILI, REZA Agent 7031 HALCYON PARK DRIVEMONTGOMERY, AL 36117

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State