| Name: | Forbush Rehabilitation, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 17 Dec 2021 (3 years ago) |
| Entity Number: | 000-957-717 |
| Register Number: | 000957717 |
| County: | Shelby |
| Place of Formation: | Alabama |
| Principal Address: | 6747 Remington CirclePelham, AL 35124 |
| Principal Address ZIP Code: | 35124 |
| Authorized Capital: | 1000 |
| Paid Share Capital: | 1.00 |
Activities
See attached
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487309308 | 2022-02-18 | 2022-05-02 | 6747 REMINGTON CIR, HOOVER, AL, 351243111, US | 3800 RIDGEWAY DR, BIRMINGHAM, AL, 352095506, US | |||||||||||||||
|
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| Phone | +1 760-508-6992 |
| Phone | +1 205-868-2000 |
Authorized person
| Name | DR. DAVID FORBUSH |
| Role | PROVIDER |
| Phone | 7605086992 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Forbush, David R M.D. | Agent | 6747 Remington CirclePelham, AL 35124 |
| Name | Role | Address |
|---|---|---|
| Forbush, David R M.D. | Incorporator | 6747 Remington CirclePelham, AL 35124 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
