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Coastal Healthcare Services P.C.

Details

Name: Coastal Healthcare Services P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 06 Dec 2017 (7 years ago)
Entity Number: 000-409-457
Register Number: 000409457
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 100 OXMOORE ROAD SUITE 110BIRMINGHAM, AL 35209
Registered Office Street Address ZIP Code: 35209
Authorized Capital: 10,000 NPV

Activities MEDICAL DOCTORS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992299291 2018-06-20 2018-06-27 116 FAIRHOPE AVE STE 1, FAIRHOPE, AL, 365322314, US 116 FAIRHOPE AVE STE 1, FAIRHOPE, AL, 36532, US

Contacts

Phone +1 251-255-5335

Authorized person

Name DR. STEPHEN SAWRIE
Role OWNER
Phone 2512555335

Taxonomy

Taxonomy Code 103G00000X - Clinical Neuropsychologist
License Number 26183
State AL
Is Primary Yes

Agent

Name Role Address
USCA INC Agent 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203

Director

Name Role Address
SAWRIE, STEPHEN M II Director 103 BRADFORD AVENUEMOBILE, AL 36604

Incorporator

Name Role Address
MOSELEY, CHEYENNE Incorporator 9900 SPECTRUM DRIVEAUSTIN, TX 78717
LEGALZOOM.COM INC Incorporator 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State