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Ruiz Neurosurgery Clinic, P.C.

Details

Name: Ruiz Neurosurgery Clinic, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 12 Jul 2002 (22 years ago) (Companies founded in July 2002)
Date of dissolution: 18 Apr 2018
Entity Number: 000-223-942
Register Number: 000223942
ZIP code: 35903 (Companies in Etowah, 35903)
County: Etowah
Place of Formation: Etowah County
Principal Address: GADSDEN, AL
Registered Office Street Address: 300 MEDICAL CENTER DR STE 303GADSDEN, AL 35903
Authorized Capital: $1,000

Activities PRACTICE MEDICINE/NEUROSURGERY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750568127 2008-01-28 2008-01-28 300 MEDICAL CENTER DR, SUITE 303, GADSDEN, AL, 359031157, US 300 MEDICAL CENTER DR, SUITE 303, GADSDEN, AL, 359031157, US

Contacts

Phone +1 256-494-3033
Fax 2564943036

Authorized person

Name HENRY RUIZ
Role PHYSICIAN
Phone 2564943033

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number 11698
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RUIZ NEUROSURGERY CLINIC 401(K) PROFIT SHARING PLAN 2016 043692985 2017-04-24 RUIZ NEUROSURGERY CLINIC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 621111
Sponsor’s telephone number 2564943033
Plan sponsor’s address 300 MEDICAL CENTER DR., SUITE 303, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2017-04-24
Name of individual signing HENRY RUIZ
RUIZ NEUROSURGERY CLINIC 401(K) PROFIT SHARING PLAN 2015 043692985 2016-06-13 RUIZ NEUROSURGERY CLINIC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 621111
Sponsor’s telephone number 2564943033
Plan sponsor’s address 300 MEDICAL CENTER DR., SUITE 303, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2016-06-13
Name of individual signing HENRY RUIZ
RUIZ NEUROSURGERY CLINIC 401(K) PROFIT SHARING PLAN 2014 043692985 2015-05-19 RUIZ NEUROSURGERY CLINIC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 621111
Sponsor’s telephone number 2564943033
Plan sponsor’s address 300 MEDICAL CENTER DR., SUITE 303, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2015-05-19
Name of individual signing HENRY RUIZ
RUIZ NEUROSURGERY CLINIC 401(K) PROFIT SHARING PLAN 2013 043692985 2014-07-15 RUIZ NEUROSURGERY CLINIC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 621111
Sponsor’s telephone number 2564943033
Plan sponsor’s address 300 MEDICAL CENTER DR., SUITE 303, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2014-07-15
Name of individual signing HENRY RUIZ
RUIZ NEUROSURGERY CLINIC 401(K) PROFIT SHARING PLAN 2012 043692985 2013-04-24 RUIZ NEUROSURGERY CLINIC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 621111
Sponsor’s telephone number 2564943033
Plan sponsor’s address 300 MEDICAL CENTER DR., SUITE 303, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2013-04-24
Name of individual signing HENRY RUIZ

Agent

Name Role
RUIZ, HENRY Agent

Incorporator

Name Role
RUIZ, HENRY Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State