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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
ESMAILI, REZA | Agent | 7031 HALCYON PARK DRIVEMONTGOMERY, AL 36117 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State