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Mobile Dermatology, P.C.

Details

Name: Mobile Dermatology, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 26 Mar 2008 (17 years ago)
Entity Number: 000-256-679
Register Number: 000256679
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 6163 OMNI PARK DRIVEMOBILE, AL 36609
Registered Office Street Address ZIP Code: 36609
Authorized Capital: $5,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548432719 2008-03-28 2010-12-17 6163 OMNI PARK DR, MOBILE, AL, 366095195, US 6163 OMNI PARK DR, MOBILE, AL, 366095195, US

Contacts
Phone +1 251-635-1315

Authorized person
Name DR. JOHN SCOTT VANLOOCK
Role CHAIRMAN
Phone 2516351315

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
License Number 23602
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOBILE DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2023 262268380 2024-06-25 MOBILE DERMATOLOGY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2515992245
Plan sponsor’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609

Signature of
Role Plan administrator
Date 2024-06-25
Name of individual signing HEATHER STEWART
MOBILE DERMATOLOGY, P.C 401(K) PROFIT SHARING PLAN 2022 262268380 2023-07-29 MOBILE DERMATOLOGY P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2516351315
Plan sponsor’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609

Plan administrator’s name and address
Administrator’s EIN 262268380
Plan administrator’s name MOBILE DERMATOLOGY P.C.
Plan administrator’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609
Administrator’s telephone number 2516351315

Signature of
Role Plan administrator
Date 2023-07-29
Name of individual signing JOHN VANLOOCK
MOBILE DERMATOLOGY, P.C 401(K) PROFIT SHARING PLAN 2021 262268380 2022-07-01 MOBILE DERMATOLOGY P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2516351315
Plan sponsor’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609

Plan administrator’s name and address
Administrator’s EIN 262268380
Plan administrator’s name MOBILE DERMATOLOGY P.C.
Plan administrator’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609
Administrator’s telephone number 2516351315

Signature of
Role Plan administrator
Date 2022-07-01
Name of individual signing JOHN VANLOOCK
MOBILE DERMATOLOGY, P.C 401(K) PROFIT SHARING PLAN 2020 262268380 2021-05-16 MOBILE DERMATOLOGY P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2516351315
Plan sponsor’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609

Plan administrator’s name and address
Administrator’s EIN 262268380
Plan administrator’s name MOBILE DERMATOLOGY P.C.
Plan administrator’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609
Administrator’s telephone number 2516351315

Signature of
Role Plan administrator
Date 2021-05-16
Name of individual signing JOHN VANLOOCK
MOBILE DERMATOLOGY, P.C 401(K) PROFIT SHARING PLAN 2019 262268380 2020-06-28 MOBILE DERMATOLOGY P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2516351315
Plan sponsor’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609

Plan administrator’s name and address
Administrator’s EIN 262268380
Plan administrator’s name MOBILE DERMATOLOGY P.C.
Plan administrator’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609
Administrator’s telephone number 2516351315

Signature of
Role Plan administrator
Date 2020-06-28
Name of individual signing JOHN VANLOOCK
MOBILE DERMATOLOGY, P.C 401(K) PROFIT SHARING PLAN 2018 262268380 2019-05-06 MOBILE DERMATOLOGY P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2516351315
Plan sponsor’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609

Plan administrator’s name and address
Administrator’s EIN 262268380
Plan administrator’s name MOBILE DERMATOLOGY P.C.
Plan administrator’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609
Administrator’s telephone number 2516351315

Signature of
Role Plan administrator
Date 2019-05-06
Name of individual signing JOHN VANLOOCK
MOBILE DERMATOLOGY, P.C 401(K) PROFIT SHARING PLAN 2017 262268380 2018-05-11 MOBILE DERMATOLOGY P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2516351315
Plan sponsor’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609

Plan administrator’s name and address
Administrator’s EIN 262268380
Plan administrator’s name MOBILE DERMATOLOGY P.C.
Plan administrator’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609
Administrator’s telephone number 2516351315

Signature of
Role Plan administrator
Date 2018-05-11
Name of individual signing JOHN VANLOOCK
MOBILE DERMATOLOGY, P.C 401(K) PROFIT SHARING PLAN 2016 262268380 2017-04-17 MOBILE DERMATOLOGY P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2516351315
Plan sponsor’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609

Plan administrator’s name and address
Administrator’s EIN 262268380
Plan administrator’s name MOBILE DERMATOLOGY P.C.
Plan administrator’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609
Administrator’s telephone number 2516351315

Signature of
Role Plan administrator
Date 2017-04-17
Name of individual signing JOHN VANLOOCK
MOBILE DERMATOLOGY, P.C 401(K) PROFIT SHARING PLAN 2015 262268380 2016-06-27 MOBILE DERMATOLOGY P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2516351315
Plan sponsor’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609

Plan administrator’s name and address
Administrator’s EIN 262268380
Plan administrator’s name MOBILE DERMATOLOGY P.C.
Plan administrator’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609
Administrator’s telephone number 2516351315

Signature of
Role Plan administrator
Date 2016-06-27
Name of individual signing JOHN VANLOOCK
MOBILE DERMATOLOGY, P.C 401(K) PROFIT SHARING PLAN 2014 262268380 2015-07-10 MOBILE DERMATOLOGY P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2516351315
Plan sponsor’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609

Plan administrator’s name and address
Administrator’s EIN 262268380
Plan administrator’s name MOBILE DERMATOLOGY P.C.
Plan administrator’s address 6163 OMNI PARK DRIVE, MOBILE, AL, 36609
Administrator’s telephone number 2516351315

Signature of
Role Plan administrator
Date 2015-07-10
Name of individual signing JOHN VANLOOCK

Agent

Name Role
VANLOOCK, J SCOTT Agent

Incorporator

Name Role
VANLOOCK, J SCOTT Incorporator

Related by officers

VANLOOCK, J SCOTT

Vanloock Properties, LLC Dermatology Partners of Mobile, LLC

Related by address

MOBILE, AL

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6163 OMNI PARK DRIVEMOBILE, AL 36609

Madelyn King Properties, LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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