| Name: | White Mountain Pain Clinic LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 May 2011 (14 years ago) (Companies founded in May 2011) |
| Entity Number: | 000-513-797 |
| Register Number: | 000513797 |
| ZIP code: | 35212 (Companies in Jefferson, 35212) |
| County: | Jefferson |
| Place of Formation: | Arizona |
| Principal Mailing Address: | PO BOX 531166Mountain Brook, AL 35253 |
| Principal Address: | 5721 5th Court SouthBirmingham, AL 35212 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972046803 | 2016-11-25 | 2016-11-26 | PO BOX 531166, MOUNTAIN BROOK, AL, 352531166, US | 5721 5TH CT S, BIRMINGHAM, AL, 352123211, US | |||||||||||||||||
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| Phone | +1 205-567-0832 |
Authorized person
| Name | JOHN C ALLEN |
| Role | GRANTOR |
| Phone | 2055670832 |
Taxonomy
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| License Number | 1-083260 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Allen, John C | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
