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Sunshine Clinic LLC

Details

Name: Sunshine Clinic LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 26 Oct 2021 (3 years ago) (Companies founded in October 2021)
Entity Number: 000-949-681
Register Number: 000949681
ZIP code: 35501 (Companies in Walker, 35501)
County: Walker
Place of Formation: Alabama
Registered Office Street Address: 4330 HIGHWAY 78 E SUITE 105JASPER, AL 35501
Registered Office Mailing Address: P.O. BOX 2201JASPER, AL 35502

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295420412 2023-04-05 2024-08-10 PO BOX 2201, JASPER, AL, 355022201, US 4330 HIGHWAY 78 E STE 105, JASPER, AL, 355018955, US

Contacts

Phone +1 205-265-3076
Fax 2052652235

Authorized person

Name KRISTIN P FREEMAN
Role PRESIDENT
Phone 2052653076

Taxonomy

Taxonomy Code 363LP2300X - Primary Care Nurse Practitioner
Is Primary Yes

Agent

Name Role
KRISTIN GANN Agent

Organizer

Name Role Address
Freeman, Kristin Organizer 2101 3rd Ave South Suite 554Jasper, AL 35503
KAAPRO Management LLC Organizer 2101 3rd Ave South Apt 554Jasper, AL 35503

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State