Name: | Regimen Pediatric Healthcare, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 14 Oct 2022 (2 years ago) (Companies founded in October 2022) |
Entity Number: | 001-044-708 |
Register Number: | 001044708 |
ZIP code: | 35007 (Companies in Shelby, 35007) |
County: | Shelby |
Place of Formation: | Alabama |
Principal Address: | 101 SHIRE CIRALABASTER, AL 35007 |
Activities
PEDIATRIC PRIMARY CARE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1790402600 | 2022-10-21 | 2023-08-02 | 400 VESTAVIA PKWY, VESTAVIA, AL, 352163763, US | 400 VESTAVIA PKWY, VESTAVIA, AL, 352163763, US | |||||||||||||||
|
Phone | +1 205-419-7376 |
Fax | 8443250578 |
Authorized person
Name | MRS. SHENEKA ANNETTE MCNICHOLS |
Role | OWNER |
Phone | 2058265313 |
Taxonomy
Taxonomy Code | 363LP0200X - Pediatric Nurse Practitioner |
Is Primary | Yes |
Name | Role |
---|---|
MCNICHOLS, SHENEKA A CAMPBELL | Agent |
Name | Role | Address |
---|---|---|
SHENEKA MCNICHOLS | Member | 101 SHIRE CIRALABASTER, AL 35007 |
Name | Role | Address |
---|---|---|
MCNICHOLS, SHENEKA A | Organizer | 101 SHIRE CIRALABASTER, AL 35007 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State