| Name: | Fillinger Foot Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Sep 2009 (15 years ago) |
| Entity Number: | 000-438-317 |
| Register Number: | 000438317 |
| Place of Formation: | Cullman County |
| Principal Address: | CULLMAN, AL |
| Registered Office Street Address: | 1400 WALL STREETCULLMAN, AL 35055-6011 |
Activities
PODIATRIC PHYSICIAN'S PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942535950 | 2009-10-08 | 2024-01-04 | 1400 WALL ST, CULLMAN, AL, 350556011, US | 1400 WALL ST, CULLMAN, AL, 350556011, US | |||||||||||||||||||||||||
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| Phone | +1 256-739-7339 |
| Fax | 2567377340 |
Authorized person
| Name | DR. ERIC B FILLINGER |
| Role | OWNER |
| Phone | 2567377339 |
Taxonomy
| Taxonomy Code | 213ES0131X - Foot Surgery Podiatrist |
| License Number | 191 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 114926 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FILLINGER FOOT CLINIC, LLC 401(K) PLAN | 2023 | 270816963 | 2024-09-09 | FILLINGER FOOT CLINIC, LLC | 5 | |||||||||||||
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| FILLINGER FOOT CLINIC, LLC 401(K) PLAN | 2022 | 270816963 | 2023-06-08 | FILLINGER FOOT CLINIC, LLC | 4 | |||||||||||||
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| FILLINGER FOOT CLINIC, LLC 401(K) PLAN | 2021 | 270816963 | 2022-10-11 | FILLINGER FOOT CLINIC, LLC | 3 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| FILLINGER, ERIC B | Agent | 264 COUNTY ROAD 1317VINEMONT, AL 35179 |
| Name | Role | Address |
|---|---|---|
| FILLINGER, ERIC B | Member | 264 COUNTY ROAD 1317VINEMONT, AL 35179 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
