Name: | Nidal Morrar, MD, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 17 May 2005 (20 years ago) (Companies founded in May 2005) |
Entity Number: | 000-465-039 |
Register Number: | 000465039 |
ZIP code: | 36535 (Companies in Baldwin, 36535) |
County: | Baldwin |
Place of Formation: | Baldwin County |
Principal Address: | FOLEY, AL |
Registered Office Street Address: | 1715 N BUNNER STFOLEY, AL 36535 |
Activities
TO RENDER PROFESSIONAL SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1922298124 | 2007-07-25 | 2023-03-15 | 1604 N MCKENZIE ST, FOLEY, AL, 365352248, US | 1604 N MCKENZIE ST, FOLEY, AL, 365352248, US | |||||||||||||||||||||
|
Phone | +1 251-955-1030 |
Fax | 2519555048 |
Authorized person
Name | NIDAL MORRAR |
Role | OWNER/PHYSICIAN |
Phone | 2519551030 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1922298124 |
State | AL |
Name | Role | Address |
---|---|---|
MORRAR, NIDAL | Agent | 1600 N MCKENZIE STREETFOLEY, AL 36535 |
Name | Role | Address |
---|---|---|
MORRAR, NIDAL | Member | 1600 N MCKENZIE STREETFOLEY, AL 36535 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State