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Eric B. Hedberg, M.D., LLC

Details

Name: Eric B. Hedberg, M.D., LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 20 Jul 2006 (18 years ago) (Companies founded in July 2006)
Date of dissolution: 22 Jun 2012
Entity Number: 000-481-708
Register Number: 000481708
ZIP code: 36117 (Companies in Montgomery, 36117)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 1040 LONGFIELD CTMONTGOMERY, AL 36117

Activities PROFESSIONAL MEDICAL PSYCHIATRIC & COUNSELING SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013938216 2006-07-22 2020-08-22 1040 LONGFIELD CT, MONTGOMERY, AL, 361178055, US 1040 LONGFIELD CT, MONTGOMERY, AL, 361178055, US

Contacts

Phone +1 334-288-9009
Fax 3342889497

Authorized person

Name ERIC B HEDBERT
Role OWNER
Phone 3342889009

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
License Number 00025221
State AL
Is Primary Yes

Agent

Name Role
HEDBERG, ERIC B Agent

Member

Name Role
HEDBERG, ERIC B Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State