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Seidel Plastic Surgery, P.C.

Details

Name: Seidel Plastic Surgery, P.C.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 31 May 1996 (28 years ago)
Entity Number: 000-180-036
Register Number: 000180036
Historical Names: The Cullman Center for Plastic, Reconstructive & Cosmetic Surgery, P.C.
County: Cullman
Place of Formation: Cullman County
Principal Address: CULLMAN, AL
Registered Office Street Address: 2035 ALABAMA HWY 157CULLMAN, AL 35055
Registered Office Street Address ZIP Code: 35055
Authorized Capital: $5,000
Paid Share Capital: --

Activities PRACTICE OF MEDICINE/REDER OF SERVICES ANCILLARY THERETO

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891724647 2006-07-02 2007-10-23 PO BOX 870, CULLMAN, AL, 350560870, US 1919 DAHLKE DR, CULLMAN, AL, 350583626, US

Contacts
Phone +1 256-739-9993

Authorized person
Name STEVEN P SEIDEL
Role OWNER/PROVIDER
Phone 2567399993

Taxonomy
Taxonomy Code 208200000X - Plastic Surgery Physician
Is Primary Yes

Other Provider Identifiers
Issuer RAILROAD MEDICARE
Number DF2573
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SEIDEL PLASTIC SURGERY, P.C. CASH BALANCE PENSION PLAN 2023 631172413 2024-10-14 SEIDEL PLASTIC SURGERY, P.C. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2567399993
Plan sponsor’s address 1919 DAHLKE DRIVE, N.E., CULLMAN, AL, 35058

Plan administrator’s name and address
Administrator’s EIN 631172413
Plan administrator’s name SEIDEL PLASTIC SURGERY, P.C.
Plan administrator’s address 1919 DAHLKE DRIVE, N.E., CULLMAN, AL, 35058
Administrator’s telephone number 2567399993

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing STEVEN P SEIDEL
Valid signature Filed with authorized/valid electronic signature
SEIDEL PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN 2023 631172413 2024-10-14 SEIDEL PLASTIC SURGERY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-05-01
Business code 621111
Sponsor’s telephone number 2567751072
Plan sponsor’s address 1919 DAHLKE DRIVE NE, CULLMAN, AL, 35058

Plan administrator’s name and address
Administrator’s EIN 631172413
Plan administrator’s name SEIDEL PLASTIC SURGERY, P.C.
Plan administrator’s address 1919 DAHLKE DRIVE NE, CULLMAN, AL, 35058
Administrator’s telephone number 2567751072

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing STEVEN P SEIDEL
Valid signature Filed with authorized/valid electronic signature
SEIDEL PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN 2022 631172413 2023-10-09 SEIDEL PLASTIC SURGERY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-05-01
Business code 621111
Sponsor’s telephone number 2567751072
Plan sponsor’s address 1919 DAHLKE DRIVE NE, CULLMAN, AL, 35058

Plan administrator’s name and address
Administrator’s EIN 631172413
Plan administrator’s name SEIDEL PLASTIC SURGERY, P.C.
Plan administrator’s address 1919 DAHLKE DRIVE NE, CULLMAN, AL, 35058
Administrator’s telephone number 2567751072

Signature of
Role Plan administrator
Date 2023-10-09
Name of individual signing STEVEN P SEIDEL
SEIDEL PLASTIC SURGERY, P.C. CASH BALANCE PENSION PLAN 2022 631172413 2023-10-09 SEIDEL PLASTIC SURGERY, P.C. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2567399993
Plan sponsor’s address 1919 DAHLKE DRIVE, N.E., CULLMAN, AL, 35058

Plan administrator’s name and address
Administrator’s EIN 631172413
Plan administrator’s name SEIDEL PLASTIC SURGERY, P.C.
Plan administrator’s address 1919 DAHLKE DRIVE, N.E., CULLMAN, AL, 35058
Administrator’s telephone number 2567399993

Signature of
Role Plan administrator
Date 2023-10-09
Name of individual signing STEVEN P SEIDEL
SEIDEL PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN 2021 631172413 2022-10-07 SEIDEL PLASTIC SURGERY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-05-01
Business code 621111
Sponsor’s telephone number 2567751072
Plan sponsor’s address 1919 DAHLKE DRIVE NE, CULLMAN, AL, 35058

Plan administrator’s name and address
Administrator’s EIN 631172413
Plan administrator’s name SEIDEL PLASTIC SURGERY, P.C.
Plan administrator’s address 1919 DAHLKE DRIVE NE, CULLMAN, AL, 35058
Administrator’s telephone number 2567751072

Signature of
Role Plan administrator
Date 2022-10-07
Name of individual signing STEVEN P SEIDEL
SEIDEL PLASTIC SURGERY, P.C. CASH BALANCE PENSION PLAN 2021 631172413 2022-10-07 SEIDEL PLASTIC SURGERY, P.C. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2567399993
Plan sponsor’s address 1919 DAHLKE DRIVE, N.E., CULLMAN, AL, 35058

Plan administrator’s name and address
Administrator’s EIN 631172413
Plan administrator’s name SEIDEL PLASTIC SURGERY, P.C.
Plan administrator’s address 1919 DAHLKE DRIVE, N.E., CULLMAN, AL, 35058
Administrator’s telephone number 2567399993

Signature of
Role Plan administrator
Date 2022-10-07
Name of individual signing STEVEN P SEIDEL
SEIDEL PLASTIC SURGERY, P.C. CASH BALANCE PENSION PLAN 2020 631172413 2021-10-13 SEIDEL PLASTIC SURGERY, P.C. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2567399993
Plan sponsor’s address 1919 DAHLKE DRIVE, N.E., CULLMAN, AL, 35058

Plan administrator’s name and address
Administrator’s EIN 631172413
Plan administrator’s name SEIDEL PLASTIC SURGERY, P.C.
Plan administrator’s address 1919 DAHLKE DRIVE, N.E., CULLMAN, AL, 35058
Administrator’s telephone number 2567399993

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing STEVEN P SEIDEL
SEIDEL PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN 2020 631172413 2021-10-13 SEIDEL PLASTIC SURGERY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-05-01
Business code 621111
Sponsor’s telephone number 2567751072
Plan sponsor’s address 1919 DAHLKE DRIVE NE, CULLMAN, AL, 35058

Plan administrator’s name and address
Administrator’s EIN 631172413
Plan administrator’s name SEIDEL PLASTIC SURGERY, P.C.
Plan administrator’s address 1919 DAHLKE DRIVE NE, CULLMAN, AL, 35058
Administrator’s telephone number 2567751072

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing STEVEN P SEIDEL
SEIDEL PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN 2019 631172413 2020-10-14 SEIDEL PLASTIC SURGERY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-05-01
Business code 621111
Sponsor’s telephone number 2567751072
Plan sponsor’s address 1919 DAHLKE DRIVE NE, CULLMAN, AL, 35058

Plan administrator’s name and address
Administrator’s EIN 631172413
Plan administrator’s name SEIDEL PLASTIC SURGERY, P.C.
Plan administrator’s address 1919 DAHLKE DRIVE NE, CULLMAN, AL, 35058
Administrator’s telephone number 2567751072

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing STEVEN P SEIDEL
SEIDEL PLASTIC SURGERY, P.C. CASH BALANCE PENSION PLAN 2019 631172413 2020-10-14 SEIDEL PLASTIC SURGERY, P.C. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2567399993
Plan sponsor’s address 1919 DAHLKE DRIVE, N.E., CULLMAN, AL, 35058

Plan administrator’s name and address
Administrator’s EIN 631172413
Plan administrator’s name SEIDEL PLASTIC SURGERY, P.C.
Plan administrator’s address 1919 DAHLKE DRIVE, N.E., CULLMAN, AL, 35058
Administrator’s telephone number 2567399993

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing STEVEN P SEIDEL

Agent

Name Role
SEIDEL, STEVEN P MD Agent

Incorporator

Name Role
SEIDEL, STEVEN P MD Incorporator

Events

Event Date Event Type Old Value New Value
1996-08-19 Name Change The Cullman Center for Plastic, Reconstructive & Cosmetic Surgery, P.C. Seidel Plastic Surgery, P.C.

Related by officers

No related officers

Related by address

CULLMAN, AL

The A. A. A. Pest Control, Inc. Alabama Feed Service, Inc. Alabama Poultry Supply Co., Inc. Benefield Brothers, Incorporated Bennett Tire Service, Inc. Brindlee Mountain Development Corporation Buchmann Tire & Retreading, Inc. Builders & Traders, Inc. Central Grocery Company of Cullman Incorporated W. C. Chapman Poultry and Produce, Inc.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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