Name: | Nancy L. Zumstein, M.D., L.L.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Dissolved |
Date of registration: | 22 Aug 2003 (21 years ago) (Companies founded in August 2003) |
Date of dissolution: | 24 Feb 2011 |
Entity Number: | 000-692-530 |
Register Number: | 000692530 |
ZIP code: | 36867 (Companies in Russell, 36867) |
County: | Russell |
Place of Formation: | Russell County |
Registered Office Street Address: | 1810 STADIUM DR STE 110PHENIX CITY, AL 36867 |
Activities
PROVIDE MEDICAL SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104887652 | 2006-03-31 | 2020-08-22 | PO BOX 849, SMITHS STATION, AL, 368770849, US | 1810 STADIUM DR, SUITE 110, PHENIX CITY, AL, 368673100, US | |||||||||||||||||||
|
Phone | +1 334-291-8170 |
Fax | 3342918175 |
Authorized person
Name | MICHAEL R BECKER |
Role | PRACTICE MANAGER |
Phone | 3342918170 |
Taxonomy
Taxonomy Code | 208000000X - Pediatrics Physician |
License Number | 18064 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
ZUMSTEIN, NANCY L | Agent |
Name | Role |
---|---|
ZUMSTEIN, NANCY L | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State