| Name: | Alliance Primary Care LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Jul 2023 (a year ago) (Companies founded in July 2023) |
| Entity Number: | 001-088-374 |
| Register Number: | 001088374 |
| ZIP code: | 35244 (Companies in Jefferson, 35244) |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 5330 Stadium Trace Parkway, suite 150Hoover, AL 35244 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457032500 | 2023-07-31 | 2023-07-31 | 2101 HIGHLAND AVE S STE 350, BIRMINGHAM, AL, 352054009, US | 5330 STADIUM TRACE PKWY STE 150, HOOVER, AL, 352444528, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 205-933-2125 |
| Phone | +1 205-588-1748 |
Authorized person
| Name | ANISA SSENGOBA-UBOGU |
| Role | OWNER/PROVIDER |
| Phone | 2055881748 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Ssengoba-Ubogu, Anisa | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
