Name: | Benchmark Orthotics & Prosthetics, Inc. |
Jurisdiction: | Alabama |
Legal type: | Foreign Corporation |
Status: | Withdrawn |
Date of registration: | 19 Oct 2001 (23 years ago) (Companies founded in October 2001) |
Entity Number: | 000-921-440 |
Register Number: | 000921440 |
ZIP code: | 36104 (Companies in Montgomery, 36104) |
County: | Montgomery |
Place of Formation: | Delaware |
Principal Address: | 101 LINDENWOOD DR STE 420MALVERN, PA 19355 |
Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1962695908 | 2007-08-23 | 2009-06-16 | 2865 ZELDA RD, MONTGOMERY, AL, 361062614, US | 2865 ZELDA ROAD, MONTGOMERY, AL, 361062614, US | |||||||||||||||||||||||
|
Phone | +1 334-395-8118 |
Fax | 3383958119 |
Fax | 3343958119 |
Authorized person
Name | RICHARD S BINSTEIN |
Role | EXECUTIVE VICE PRESIDENT |
Phone | 6106447824 |
Taxonomy
Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 009914103 |
State | AL |
Name | Role | Address |
---|---|---|
C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State