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Birmingham Integrative Health, PC

Details

Name: Birmingham Integrative Health, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 06 May 2011 (14 years ago)
Entity Number: 000-012-166
Register Number: 000012166
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 336 PALACE DRIVETRUSSVILLE, AL 35173
Registered Office Street Address ZIP Code: 35173
Authorized Capital: 1,000 @ $1 PV

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811288392 2011-05-02 2011-05-02 PO BOX 220, TRUSSVILLE, AL, 351730220, US 7299 GADSDEN HWY, TRUSSVILLE, AL, 351731688, US

Contacts

Phone +1 205-655-6446
Fax 2056558252

Authorized person

Name DR. MELANIE MILLER
Role OWNER/SOLE PROPIETOR
Phone 2056556446

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BIRMINGHAM INTEGRATIVE HEALTH 401(K) PROFIT SHARING PLAN & TRUST 2023 451650579 2024-06-04 BIRMINGHAM INTEGRATIVE HEALTH 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056551543
Plan sponsor’s address 159 MAIN STREET, TRUSSVILLE, AL, 35173

Signature of

Role Plan administrator
Date 2024-06-04
Name of individual signing MALCOLM LEHR
BIRMINGHAM INTEGRATIVE HEALTH 401(K) PROFIT SHARING PLAN & TRUST 2022 451650579 2023-05-16 BIRMINGHAM INTEGRATIVE HEALTH 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056551543
Plan sponsor’s address 159 MAIN STREET, TRUSSVILLE, AL, 35173

Signature of

Role Plan administrator
Date 2023-05-16
Name of individual signing MALCOLM LEHR
BIRMINGHAM INTEGRATIVE HEALTH 401(K) PROFIT SHARING PLAN & TRUST 2021 451650579 2022-05-26 BIRMINGHAM INTEGRATIVE HEALTH 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056551543
Plan sponsor’s address 159 MAIN STREET, TRUSSVILLE, AL, 35173

Signature of

Role Plan administrator
Date 2022-05-26
Name of individual signing MALCOLM LEHR
BIRMINGHAM INTEGRATIVE HEALTH 401(K) PROFIT SHARING PLAN & TRUST 2020 451650579 2021-06-10 BIRMINGHAM INTEGRATIVE HEALTH 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056551543
Plan sponsor’s address 159 MAIN STREET, TRUSSVILLE, AL, 35173

Signature of

Role Plan administrator
Date 2021-06-10
Name of individual signing MALCOLM E. LEHR
BIRMINGHAM INTEGRATIVE HEALTH 401(K) PROFIT SHARING PLAN & TRUST 2019 451650579 2020-05-27 BIRMINGHAM INTEGRATIVE HEALTH 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056551543
Plan sponsor’s address 159 MAIN STREET, TRUSSVILLE, AL, 35173

Signature of

Role Plan administrator
Date 2020-05-27
Name of individual signing MALCOLM LEHR
BIRMINGHAM INTEGRATIVE HEALTH 401 K PROFIT SHARING PLAN TRUST 2018 451650579 2019-05-07 BIRMINGHAM INTEGRATIVE HEALTH 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056551543
Plan sponsor’s address 159 MAIN STREET, TRUSSVILLE, AL, 35173

Signature of

Role Plan administrator
Date 2019-05-07
Name of individual signing MELANIE MILLER
BIRMINGHAM INTEGRATIVE HEALTH 401 K PROFIT SHARING PLAN TRUST 2017 451650579 2018-06-05 BIRMINGHAM INTEGRATIVE HEALTH 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056551543
Plan sponsor’s address 159 MAIN STREET, TRUSSVILLE, AL, 35173

Signature of

Role Plan administrator
Date 2018-06-05
Name of individual signing MELANIE MILLER
BIRMINGHAM INTEGRATIVE HEALTH 401 K PROFIT SHARING PLAN TRUST 2016 451650579 2017-06-29 BIRMINGHAM INTEGRATIVE HEALTH 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056551543
Plan sponsor’s address 159 MAIN STREET, TRUSSVILLE, AL, 35173

Signature of

Role Plan administrator
Date 2017-06-29
Name of individual signing MELANIE MILLER
BIRMINGHAM INTEGRATIVE HEALTH 401 K PROFIT SHARING PLAN TRUST 2015 451650579 2016-05-17 BIRMINGHAM INTEGRATIVE HEALTH 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056551543
Plan sponsor’s address 159 MAIN STREET, TRUSSVILLE, AL, 35173

Signature of

Role Plan administrator
Date 2016-05-17
Name of individual signing MELANIE MILLER
BIRMINGHAM INTEGRATIVE HEALTH 401 K PROFIT SHARING PLAN TRUST 2014 451650579 2015-06-11 BIRMINGHAM INTEGRATIVE HEALTH 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056551543
Plan sponsor’s address 159 MAIN STREET, TRUSSVILLE, AL, 35173

Signature of

Role Plan administrator
Date 2015-06-11
Name of individual signing MELANIE MILLER

Agent

Name Role Address
MILLER, MELANIE M Agent 336 PALACE DRIVETRUSSVILLE, AL 35173

Director

Name Role Address
MILLER, MELANIE M Director 336 PALACE DRIVETRUSSVILLE, AL 35173

Incorporator

Name Role Address
MILLER, MELANIE M Incorporator 336 PALACE DRIVETRUSSVILLE, AL 35173

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State