| Name: | Irena Bukelis, MD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Oct 2021 (3 years ago) (Companies founded in October 2021) |
| Entity Number: | 000-947-890 |
| Register Number: | 000947890 |
| ZIP code: | 35233 (Companies in Jefferson, 35233) |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2226 1st Ave. South, Unit 105Birmingham, AL 35233 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740918226 | 2022-08-11 | 2022-08-11 | 400 VESTAVIA PKWY STE 102, VESTAVIA, AL, 352163784, US | 400 VESTAVIA PKWY STE 102, VESTAVIA, AL, 352163784, US | |||||||||||||||||
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| Phone | +1 205-352-2000 |
Authorized person
| Name | DR. IRENA BUKELIS |
| Role | PSYCHIATRIST |
| Phone | 2053522000 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Hale, Bryan | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
