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East Alabama Endocrinology, PC

Details

Name: East Alabama Endocrinology, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 30 Jan 2009 (16 years ago) (Companies founded in January 2009)
Entity Number: 000-259-869
Register Number: 000259869
ZIP code: 36867 (Companies in Russell, 36867)
County: Russell
Place of Formation: Lee County
Registered Office Street Address: 1609 MCINTOSH CREEK RDPHENIX CITY, AL 36867
Principal Address: PHENIX CITY, AL
Authorized Capital: $10,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588803811 2009-02-10 2023-01-24 3320 SKYWAY DR STE 602, OPELIKA, AL, 368017138, US 3320 SKYWAY DR, SUITE 808, OPELIKA, AL, 368017137, US

Contacts

Phone +1 334-737-2737
Fax 3348211043

Authorized person

Name MRS. LORI B FULLER
Role PRACTICE ADMINISTRATOR
Phone 3347372737

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number 27288
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST ALABAMA ENDOCRINOLOGY, PC 401K PROFIT SHARING PLAN 2021 264127239 2022-07-12 EAST ALABAMA ENDOCRINOLOGY, PC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-02-01
Business code 621111
Sponsor’s telephone number 3347372737
Plan sponsor’s address 3320 SKYWAY DRIVE, SUITE 602, OPELIKA, AL, 36804
EAST ALABAMA ENDOCRINOLOGY, PC CASH BALANCE PENSION PLAN 2020 264127239 2021-10-11 EAST ALABAMA ENDOCRINOLOGY, PC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-02-01
Business code 621111
Sponsor’s telephone number 3347372737
Plan sponsor’s address 3320 SKYWAY DRIVE, SUITE 602, OPELIKA, AL, 36801
EAST ALABAMA ENDOCRINOLOGY, PC 401K PROFIT SHARING PLAN 2020 264127239 2021-10-11 EAST ALABAMA ENDOCRINOLOGY, PC 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-02-01
Business code 621111
Sponsor’s telephone number 3347372737
Plan sponsor’s address 3320 SKYWAY DRIVE, SUITE 602, OPELIKA, AL, 36804
EAST ALABAMA ENDOCRINOLOGY, PC 401K PROFIT SHARING PLAN 2019 264127239 2020-10-13 EAST ALABAMA ENDOCRINOLOGY, PC 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-02-01
Business code 621111
Sponsor’s telephone number 3347372737
Plan sponsor’s address 3320 SKYWAY DRIVE, SUITE 602, OPELIKA, AL, 36804
EAST ALABAMA ENDOCRINOLOGY, PC CASH BALANCE PENSION PLAN 2019 264127239 2020-10-13 EAST ALABAMA ENDOCRINOLOGY, PC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-02-01
Business code 621111
Sponsor’s telephone number 3347372737
Plan sponsor’s address 3320 SKYWAY DRIVE, SUITE 808, OPELIKA, AL, 36804
EAST ALABAMA ENDOCRINOLOGY, PC 401K PROFIT SHARING PLAN 2018 264127239 2019-10-09 EAST ALABAMA ENDOCRINOLOGY, PC 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-02-01
Business code 621111
Sponsor’s telephone number 3347372737
Plan sponsor’s address 3320 SKYWAY DRIVE, SUITE 602, OPELIKA, AL, 36804
EAST ALABAMA ENDOCRINOLOGY, PC CASH BALANCE PENSION PLAN 2018 264127239 2019-10-15 EAST ALABAMA ENDOCRINOLOGY, PC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-02-01
Business code 621111
Sponsor’s telephone number 3347372737
Plan sponsor’s address 3320 SKYWAY DRIVE, SUITE 808, OPELIKA, AL, 36804
EAST ALABAMA ENDOCRINOLOGY, PC CASH BALANCE PENSION PLAN 2017 264127239 2018-10-10 EAST ALABAMA ENDOCRINOLOGY, PC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-02-01
Business code 621111
Sponsor’s telephone number 3347372737
Plan sponsor’s address 3320 SKYWAY DRIVE, SUITE 808, OPELIKA, AL, 36804
EAST ALABAMA ENDOCRINOLOGY, PC 401K PROFIT SHARING PLAN 2017 264127239 2018-06-02 EAST ALABAMA ENDOCRINOLOGY, PC 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-02-01
Business code 621111
Sponsor’s telephone number 3347372737
Plan sponsor’s address 3320 SKYWAY DRIVE, SUITE 602, OPELIKA, AL, 36804
EAST ALABAMA ENDOCRINOLOGY, PC CASH BALANCE PENSION PLAN 2016 264127239 2017-10-10 EAST ALABAMA ENDOCRINOLOGY, PC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-02-01
Business code 621111
Sponsor’s telephone number 3347372737
Plan sponsor’s address 3320 SKYWAY DRIVE, SUITE 808, OPELIKA, AL, 36804

Agent

Name Role Address
LOMAX, ROBERT R Agent 1609 MCINTOSH CREEK RDPHENIX CITY, AL

Incorporator

Name Role Address
LOMAX, ROBERT R Incorporator 1609 MCINTOSH CREEK RDPHENIX CITY, AL

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State