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Montgomery Spine Center, P.C.

Details

Name: Montgomery Spine Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 09 Nov 1999 (25 years ago) (Companies founded in November 1999)
Entity Number: 000-206-389
Register Number: 000206389
ZIP code: 36117 (Companies in Montgomery, 36117)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 257 WINTON M BLOUNT LOOPMONTTGOMERY, AL 36117
Authorized Capital: $2,000

Activities MEDICAL PRACTICE SPECIALIZING IN ORTHOPEDICS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568521169 2006-12-08 2011-08-02 257 WINTON BLOUNT LOOP, MONTGOMERY, AL, 36117, US 257 WINTON BLOUNT LOOP, MONTGOMERY, AL, 36117, US

Contacts
Phone +1 334-396-1886
Fax 3343960608

Authorized person
Name TIMOTHY A HOLT
Role PRESIDENT
Phone 3343961886

Taxonomy
Taxonomy Code 111NX0800X - Orthopedic Chiropractor
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTGOMERY SPINE CENTER, P.C. 401(K) PROFIT SHARING PLAN 2023 631237270 2024-09-05 MONTGOMERY SPINE CENTER, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3343961886
Plan sponsor’s address 257 WINTON M. BLOUNT LOOP, MONTGOMERY, AL, 36117
MONTGOMERY SPINE CENTER, P.C. 401(K) PROFIT SHARING PLAN 2022 631237270 2023-09-18 MONTGOMERY SPINE CENTER, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3343961886
Plan sponsor’s address 257 WINTON M. BLOUNT LOOP, MONTGOMERY, AL, 36117
MONTGOMERY SPINE CENTER, P.C. 401(K) PROFIT SHARING PLAN 2021 631237270 2022-10-05 MONTGOMERY SPINE CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3343961886
Plan sponsor’s address 257 WINTON M. BLOUNT LOOP, MONTGOMERY, AL, 36117
MONTGOMERY SPINE CENTER, P.C. 401(K) PROFIT SHARING PLAN 2020 631237270 2021-07-13 MONTGOMERY SPINE CENTER, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3343961886
Plan sponsor’s address 257 WINTON M. BLOUNT LOOP, MONTGOMERY, AL, 36117
MONTGOMERY SPINE CENTER, P.C. 401(K) PROFIT SHARING PLAN 2019 631237270 2020-09-25 MONTGOMERY SPINE CENTER, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3343961886
Plan sponsor’s address 257 WINTON M. BLOUNT LOOP, MONTGOMERY, AL, 36117
MONTGOMERY SPINE CENTER, P.C. 401(K) PROFIT SHARING PLAN 2018 631237270 2019-09-30 MONTGOMERY SPINE CENTER, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3343961886
Plan sponsor’s address 257 WINTON M. BLOUNT LOOP, MONTGOMERY, AL, 36117
MONTGOMERY SPINE CENTER, P.C. 401(K) PROFIT SHARING PLAN 2017 631237270 2018-09-28 MONTGOMERY SPINE CENTER, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3343961886
Plan sponsor’s address 257 WINTON M. BLOUNT LOOP, MONTGOMERY, AL, 36117
MONTGOMERY SPINE CENTER, P.C. 401(K) PROFIT SHARING PLAN 2016 631237270 2017-08-25 MONTGOMERY SPINE CENTER, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3343961886
Plan sponsor’s address 257 WINTON M. BLOUNT LOOP, MONTGOMERY, AL, 36117
MONTGOMERY SPINE CENTER, P.C. 401(K) PROFIT SHARING PLAN 2015 631237270 2016-09-29 MONTGOMERY SPINE CENTER, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3343961886
Plan sponsor’s address 257 WINTON M. BLOUNT LOOP, MONTGOMERY, AL, 36117
MONTGOMERY SPINE CENTER, P.C. 401(K) PROFIT SHARING PLAN 2014 631237270 2015-09-08 MONTGOMERY SPINE CENTER, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3343961886
Plan sponsor’s address 257 WINTON M. BLOUNT LOOP, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2015-09-08
Name of individual signing TERRY PHILLIPS
Role Employer/plan sponsor
Date 2015-09-08
Name of individual signing TERRY PHILLIPS

Agent

Name Role
HOLT, TIMOTHY A Agent

Incorporator

Name Role
HOLT, TIMOTHY A Incorporator

Related by officers

HOLT, TIMOTHY A

Support Alternatives, LLC Orthopaedic Properties, L.L.C. Sprague Properties, L.L.C.

Related by address

MONTGOMERY, AL

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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