| Name: | Fischer Family Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 18 Dec 2017 (7 years ago) |
| Entity Number: | 000-450-557 |
| Register Number: | 000450557 |
| Place of Formation: | Clay County |
| Principal Address: | 83745 HWY 9, STE BASHLAND, AL 36251-7988 |
| Principal Mailing Address: | P.O. BOX 308ASHLAND, AL 36251-7988 |
| Authorized Capital: | 1000 @ $1.00 PV |
Activities
RENDERING SERVICES IN THE MEDICAL PROFESSION
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124526330 | 2018-01-23 | 2023-11-20 | 83745 HIGHWAY 9 STE B, ASHLAND, AL, 362517988, US | 83745 HIGHWAY 9 STE B, ASHLAND, AL, 362517988, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 256-354-4142 |
| Fax | 2563540396 |
Authorized person
| Name | JOHN STEWART FISCHER |
| Role | PRESIDENT |
| Phone | 2059369333 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 19176 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FISCHER, JOHN S | Agent |
| Name | Role | Address |
|---|---|---|
| FISCHER, JOHN S. | Director | 83745 HWY 9, STE BASHLAND, AL 36251-7988 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
