| 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 | |||||||||||||||||
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| 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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
