Name: | PURE DERMATOLOGY & AESTHETICS, PC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 29 Aug 2012 (12 years ago) |
Entity Number: | 000-044-217 |
Register Number: | 000044217 |
County: | Jefferson |
Place of Formation: | Jefferson County |
Registered Office Street Address: | 5346 STADIUM TRACE PKWY STE 100HOOVER, AL 35244 |
Registered Office Street Address ZIP Code: | 35244 |
Authorized Capital: | 1000 @ $1.00 PV |
Activities
PRACTICE THE PROFESSION OF DERMATOLOGY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104176700 | 2012-09-12 | 2012-09-12 | 5346 STADIUM TRACE PKWY, SUITE 100, HOOVER, AL, 352444582, US | 5346 STADIUM TRACE PKWY, SUITE 100, HOOVER, AL, 352444582, US | |||||||||||||||||
|
Phone | +1 205-682-8022 |
Authorized person
Name | ELIZABETH SHANNON MARTIN |
Role | PHYSICIAN |
Phone | 2056828022 |
Taxonomy
Taxonomy Code | 207N00000X - Dermatology Physician |
License Number | 21915 |
State | AL |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
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PURE DERMATOLOGY & AESTHETICS, PC 401(K) PROFIT SHARING PLAN | 2023 | 460904801 | 2024-09-18 | PURE DERMATOLOGY & AESTHETICS, PC | 14 | |||||||||||||
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PURE DERMATOLOGY & AESTHETICS, PC 401(K) PROFIT SHARING PLAN | 2022 | 460904801 | 2023-09-21 | PURE DERMATOLOGY & AESTHETICS, PC | 13 | |||||||||||||
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PURE DERMATOLOGY & AESTHETICS, PC 401(K) PROFIT SHARING PLAN | 2021 | 460904801 | 2022-07-13 | PURE DERMATOLOGY & AESTHETICS, PC | 0 | |||||||||||||
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Name | Role | Address |
---|---|---|
MARTIN, ELIZABETH S | Agent | 5346 STADIUM TRACE PKWY STE 100HOOVER, AL 35244 |
Name | Role | Address |
---|---|---|
MARTIN, ELIZABETH S | Director | 5346 STADIUM TRACE PKWY STE 100HOOVER, AL 35244 |
Name | Role | Address |
---|---|---|
BOWDRE, J B | Incorporator | 800 SHADES CREEK PKWY STE 400BIRMINGHAM, AL 35209 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State