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Jean Senecal MD LLC

Details

Name: Jean Senecal MD LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Feb 2008 (17 years ago) (Companies founded in February 2008)
Entity Number: 000-416-502
Register Number: 000416502
ZIP code: 36027 (Companies in Barbour, 36027)
County: Barbour
Place of Formation: Barbour County
Principal Address: EUFAULA, AL
Registered Office Street Address: 825 WEST WASHINGTON ST STE 12EUFAULA, AL 36027

Activities MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083884738 2008-03-10 2008-07-28 825 W WASHINGTON ST, SUITE 12, EUFAULA, AL, 360271847, US 825 W WASHINGTON ST, SUITE 12, EUFAULA, AL, 360271847, US

Contacts

Phone +1 334-688-7455

Authorized person

Name DR. JEAN SENECAL
Role PRESIDENT
Phone 3346887455

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 1083884738
State AL

Agent

Name Role
SENECAL, JEAN Agent

Member

Name Role
SENECAL JEAN Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State