| Name: | Allergy & Asthma Center of Birmingham, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 12 Jul 2005 (20 years ago) |
| Date of dissolution: | 10 Oct 2018 |
| Entity Number: | 000-242-489 |
| Register Number: | 000242489 |
| ZIP code: | 35242 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 1200 PROVIDENCE PARK STE 100BIRMINGHAM, AL 35242 |
| Authorized Capital: | $500 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770647794 | 2006-12-21 | 2020-08-22 | 1200 PROVIDENCE PARK, SUITE 100, BIRMINGHAM, AL, 352424695, US | 1200 PROVIDENCE PARK, SUITE 100, BIRMINGHAM, AL, 352424695, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 205-995-9941 |
| Fax | 2059958988 |
Authorized person
| Name | DR. SUSANN KIRCHER |
| Role | OWNER |
| Phone | 2059959941 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 00026694 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 7042511 |
| State | AL |
| Issuer | BLUE CROSS AND BLUE SHIEL |
| Number | 51530682 |
| State | AL |
| Name | Role |
|---|---|
| KIRCHER, SUSANN | Agent |
| Name | Role |
|---|---|
| KIRCHER, SUSANN | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
