| Name: | Advanced Provider Solutions, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Sep 2019 (5 years ago) |
| Entity Number: | 000-586-296 |
| Register Number: | 000586296 |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 245 COBB ROADDOTHAN, AL 36301 |
| Registered Office Street Address ZIP Code: | 36301 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013558147 | 2019-09-30 | 2019-09-30 | 245 COBB RD, DOTHAN, AL, 363017504, US | 245 COBB RD, DOTHAN, AL, 363017504, US | |||||||||||||
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| Phone | +1 334-547-9186 |
Authorized person
| Name | DENNIS WADE STEWART |
| Role | SOLE MEMBER |
| Phone | 3345479186 |
Taxonomy
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | Yes |
| Name | Role |
|---|---|
| STEWART, DENNIS W | Agent |
| Name | Role | Address |
|---|---|---|
| EDGE, J VINCENT | Organizer | 291 NORTH OATES STREETDOTHAN, AL 36303 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
