| Name: | Robert Heuermann MD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Jan 2020 (5 years ago) |
| Entity Number: | 000-599-960 |
| Register Number: | 000599960 |
| ZIP code: | 35160 |
| County: | Talladega |
| Place of Formation: | Talladega County |
| Registered Office Street Address: | 107 PATTY LANETALLADEGA, AL 35160 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689206740 | 2020-02-06 | 2020-02-06 | 107 PATTY LANE, TALLADEGA, AL, 35160, US | 107 PATTY LANE, TALLADEGA, AL, 35160, US | |||||||||||||||||||
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| Phone | +1 256-761-0921 |
Authorized person
| Name | ROBERT HEUERMANN |
| Role | OWNER |
| Phone | 2562664048 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051557577 |
| State | AL |
| Name | Role |
|---|---|
| HEUERMANN, ROBERT MDC | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
