Sleep & Pulmonary Care Center, P.C.

Contacts

Phone	+1 256-461-6800
Fax	2564616803

Authorized person

Name	DR. MAMOUN NAJJAR
Role	OWNER
Phone	2563410152

Taxonomy

Taxonomy Code	261QU0200X - Urgent Care Clinic/Center
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-07-01
Business code	621111
Sponsor’s telephone number	2563410152
Plan sponsor’s address	1222 SOMERVILLE RD SE, DECATUR, AL, 35601

Signature of

Role	Plan administrator
Date	2021-10-11
Name of individual signing	MAMOUN NAJJAR

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-07-01
Business code	621111
Sponsor’s telephone number	2563410152
Plan sponsor’s address	1222 SOMERVILLE RD SE, DECATUR, AL, 35601

Signature of

Role	Plan administrator
Date	2020-10-12
Name of individual signing	MAMOUN NAJJAR

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-07-01
Business code	621111
Sponsor’s telephone number	2563410152
Plan sponsor’s address	1222 SOMERVILLE RD SE, DECATUR, AL, 35601

Signature of

Role	Plan administrator
Date	2019-07-16
Name of individual signing	MAMOUN NAJJAR

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-07-01
Business code	621111
Sponsor’s telephone number	2563410152
Plan sponsor’s address	1222 SOMERVILLE RD SE, DECATUR, AL, 35601

Signature of

Role	Plan administrator
Date	2018-04-11
Name of individual signing	MAMOUN NAJJAR

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-07-01
Business code	621111
Sponsor’s telephone number	2563410152
Plan sponsor’s address	1222 SOMERVILLE RD SE, DECATUR, AL, 35601

Signature of

Role	Plan administrator
Date	2017-10-16
Name of individual signing	MAMOUN NAJJAR