| Name: | Champion Sports Medicine, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Merged |
| Date of registration: | 01 Sep 2004 (20 years ago) |
| Entity Number: | 000-607-124 |
| Register Number: | 000607124 |
| ZIP code: | 35242 |
| County: | Shelby |
| Place of Formation: | Delaware |
| Principal Address: | 3505 WYNGATE TRACEBIRMINGHAM, AL 35242 |
Activities
HEALTH CARE SERVICES IN THE AREA OF SPORTS MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588063986 | 2014-08-21 | 2014-08-21 | 700 SUMMIT PL, BIRMINGHAM, AL, 352433114, US | 3014 ALLISON BONNETT MEMORIAL DR STE 144, HUEYTOWN, AL, 350232394, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 205-744-9444 |
Authorized person
| Name | AARON JOSEPH POIRIER |
| Role | PHYSICAL THERAPIST |
| Phone | 7346252921 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PTH7300 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HUFFMAN, MICHAEL SEAN | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
