| Name: | Huntsville Plastic Anesthesia LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Jan 2023 (2 years ago) (Companies founded in January 2023) |
| Entity Number: | 001-059-101 |
| Register Number: | 001059101 |
| ZIP code: | 35802 (Companies in Madison, 35802) |
| County: | Madison |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2620 Carl T. Jones DriveHuntsville, AL 35802 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558068684 | 2023-02-09 | 2023-02-09 | P O BOX 661495, BIRMINGHAM, AL, 352661495, US | 2620 CARL T JONES DR SE, HUNTSVILLE, AL, 358024951, US | |||||||||||||||||||
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| Phone | +1 205-979-5882 |
| Fax | 2059791248 |
| Phone | +1 256-551-2002 |
| Fax | 2565512003 |
Authorized person
| Name | DR. PATRICK WILSON |
| Role | OWNER |
| Phone | 2565512002 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Wilson, Patrick | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
