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Regimen Pediatric Healthcare, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
MCNICHOLS, SHENEKA A CAMPBELL Agent

Member

Name Role Address
SHENEKA MCNICHOLS Member 101 SHIRE CIRALABASTER, AL 35007

Organizer

Name Role Address
MCNICHOLS, SHENEKA A Organizer 101 SHIRE CIRALABASTER, AL 35007

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State