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