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Neuroscience Services, P.C.

Details

Name: Neuroscience Services, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Apr 2004 (21 years ago) (Companies founded in April 2004)
Entity Number: 000-234-516
Register Number: 000234516
ZIP code: 35205 (Companies in Jefferson, 35205)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 833 ST VINCENT DR STE 503BIRMINGHAM, AL 35205
Authorized Capital: $5,000

Activities OUTPATIENT NEUROLOGICAL SURGERY/INTERVENTIONAL PAIN SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467576801 2007-03-19 2020-08-22 101 1ST AVE NE STE 150, CULLMAN, AL, 350552995, US 800 SAINT VINCENTS DR STE 710, BIRMINGHAM, AL, 352051633, US

Contacts
Phone +1 256-734-2977
Fax 2567344345
Phone +1 256-558-3653
Fax 2565583654

Authorized person
Name MR. JESSE O WEATHERLY
Role MANAGEMENT CONSULTANT
Phone 2567342977

Taxonomy
Taxonomy Code 204C00000X - Sports Medicine (Neuromusculoskeletal Medicine) Physician
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEUROSCIENCE SERVICES, P.C. 401(K) PROFIT SHARING PLAN 2010 201268929 2011-07-06 NEUROSCIENCE SERVICES, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-09-01
Business code 621111
Sponsor’s telephone number 2055583636
Plan sponsor’s address 800 ST. VINCENTS DRIVE, STE 710, BIRMINGHAM, AL, 352051633

Plan administrator’s name and address
Administrator’s EIN 201268929
Plan administrator’s name NEUROSCIENCE SERVICES, P.C.
Plan administrator’s address 800 ST. VINCENTS DRIVE, STE 710, BIRMINGHAM, AL, 352051633
Administrator’s telephone number 2055583636

Signature of
Role Plan administrator
Date 2011-07-06
Name of individual signing THOMAS WILSON, M.D.
Role Employer/plan sponsor
Date 2011-07-06
Name of individual signing THOMAS WILSON, M.D.
NEUROSCIENCE SERVICES, P.C. 401(K) PROFIT SHARING PLAN 2010 201268929 2011-07-06 NEUROSCIENCE SERVICES, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-09-01
Business code 621111
Sponsor’s telephone number 2055583636
Plan sponsor’s address 800 ST. VINCENTS DRIVE, STE 710, BIRMINGHAM, AL, 352051633

Plan administrator’s name and address
Administrator’s EIN 201268929
Plan administrator’s name NEUROSCIENCE SERVICES, P.C.
Plan administrator’s address 800 ST. VINCENTS DRIVE, STE 710, BIRMINGHAM, AL, 352051633
Administrator’s telephone number 2055583636

Signature of
Role Plan administrator
Date 2011-07-06
Name of individual signing THOMAS WILSON, M.D.
Role Employer/plan sponsor
Date 2011-07-06
Name of individual signing THOMAS WILSON, M.D.
NEUROSCIENCE SERVICES, P.C. 401(K) PROFIT SHARING PLAN 2009 201268929 2010-09-22 NEUROSCIENCE SERVICES, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-09-01
Business code 621111
Sponsor’s telephone number 2055583636
Plan sponsor’s address 800 ST. VINCENTS DRIVE, STE 710, BIRMINGHAM, AL, 352051633

Plan administrator’s name and address
Administrator’s EIN 201268929
Plan administrator’s name NEUROSCIENCE SERVICES, P.C.
Plan administrator’s address 800 ST. VINCENTS DRIVE, STE 710, BIRMINGHAM, AL, 352051633
Administrator’s telephone number 2055583636

Signature of
Role Plan administrator
Date 2010-09-21
Name of individual signing THOMAS WILSON, M.D.
Role Employer/plan sponsor
Date 2010-09-21
Name of individual signing THOMAS WILSON, M.D.

Agent

Name Role
WILSON, THOMAS A S JR Agent

Incorporator

Name Role Address
LEVITT, RONALD A Incorporator PO BOX 55727BIRMINGHAM, AL 35255-5727

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833 ST VINCENT DR STE 503BIRMINGHAM, AL 35205

Harsh Properties, Inc.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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