| Name: | Marshall County Anesthesiology and Pain Specialists, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Sep 2002 (22 years ago) (Companies founded in September 2002) |
| Entity Number: | 000-684-898 |
| Register Number: | 000684898 |
| ZIP code: | 35976 (Companies in Marshall, 35976) |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Principal Address: | GUNTERSVILLE, AL |
| Registered Office Street Address: | 571 LARUE CIRCLEGUNTERSVILLE, AL 35976 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699710772 | 2006-06-20 | 2020-02-27 | PO BOX 1547, SEDALIA, MO, 653021547, US | 8000 AL HIGHWAY 69, GUNTERSVILLE, AL, 359767140, US | |||||||||||||||||||||||||||||||
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| Phone | +1 660-826-5960 |
| Fax | 6608264852 |
Authorized person
| Name | DEAN CHASSAY |
| Role | PRESIDENT |
| Phone | 6608265960 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529913730 |
| State | AL |
| Issuer | RR MEDICARE |
| Number | DE9834 |
| State | AL |
| Name | Role |
|---|---|
| CHASSAY, DEAN R | Agent |
| Name | Role |
|---|---|
| DILLARD, DONALD R | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
