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Premier Women's Care, P.C.

Details

Name: Premier Women's Care, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 23 Sep 1998 (26 years ago)
Date of dissolution: 16 Mar 2015
Entity Number: 000-198-087
Register Number: 000198087
Historical Names: Cybulsky & Littleton, P.C.
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2006 BROOKWOOD MEDICAL CENTER DR, STE 206BIRMINGHAM, AL 35209
Registered Office Street Address ZIP Code: 35209
Authorized Capital: $1,500
Paid Share Capital: $1,000

Activities PRACTICE OF MEDICINE & SURGERY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982893111 2007-10-24 2007-10-24 2006 BROOKWOOD MEDICAL CTR DR, WMP- SUITE 206, BIRMINGHAM, AL, 352096899, US 2006 BROOKWOOD MEDICAL CTR DR, WMP- SUITE 206, BIRMINGHAM, AL, 352096899, US

Contacts

Phone +1 205-877-2814
Fax 2058772824

Authorized person

Name MRS. DONNA J HYCHE
Role OFFICE MANAGER
Phone 2058772814

Taxonomy

Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
License Number 7915
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER WOMEN'S CARE, P.C. 401(K) PROFIT SHARING PLAN 2011 631201533 2012-03-30 PREMIER WOMEN'S CARE, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2058772814
Plan sponsor’s address 2006 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 206, BIRMINGHAM, AL, 352096823

Plan administrator’s name and address

Administrator’s EIN 631201533
Plan administrator’s name PREMIER WOMEN'S CARE, P.C.
Plan administrator’s address 2006 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 206, BIRMINGHAM, AL, 352096823
Administrator’s telephone number 2058772814

Signature of

Role Plan administrator
Date 2012-03-30
Name of individual signing RICHARD CYBULSKY, M. D.
Role Employer/plan sponsor
Date 2012-03-30
Name of individual signing RICHARD CYBULSKY, M. D.

Agent

Name Role
CYBYLSKY, RICHARD S Agent

Incorporator

Name Role
LITTLETON, HARRY J Incorporator
CYBULSKY, RICHARD S Incorporator

Events

Event Date Event Type Old Value New Value
2003-11-06 Name Change Cybulsky & Littleton, P.C. Premier Women's Care, P.C.
2003-11-06 Capital Change $1,000 Authorized $1,000 Paid In $1,500 Authorized $1,000 Paid In

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State