Name: | Eastern Shore Gastroenterology, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Dissolved |
Date of registration: | 12 Oct 2009 (15 years ago) |
Date of dissolution: | 20 Mar 2019 |
Entity Number: | 000-262-317 |
Register Number: | 000262317 |
County: | Baldwin |
Place of Formation: | Baldwin County |
Principal Address: | FAIRHOPE, AL |
Registered Office Street Address: | 188 HOSPITAL DR STE 405FAIRHOPE, AL 36532 |
Registered Office Street Address ZIP Code: | 36532 |
Authorized Capital: | $100 |
Activities
MEDICAL PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1558696559 | 2009-10-08 | 2020-01-13 | 188 HOSPITAL DR, 405, FAIRHOPE, AL, 365322043, US | 188 HOSPITAL DR, 405, FAIRHOPE, AL, 365322043, US | |||||||||||||||||||
|
Phone | +1 251-753-6462 |
Fax | 2512794601 |
Authorized person
Name | STEPHEN L COLEMAN |
Role | OWNER |
Phone | 2517536462 |
Taxonomy
Taxonomy Code | 207RG0100X - Gastroenterology Physician |
License Number | 8781 |
State | AL |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
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EASTERN SHORE GASTROENTEROLOGY, P.C. RETIREMENT PLAN | 2019 | 270973761 | 2020-07-09 | EASTERN SHORE GASTROENTEROLOGY, P.C. | 2 | |||||||||||||
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EASTERN SHORE GASTROENTEROLOGY, P.C. RETIREMENT PLAN | 2018 | 270973761 | 2019-07-30 | EASTERN SHORE GASTROENTEROLOGY, P.C. | 5 | |||||||||||||
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EASTERN SHORE GASTROENTEROLOGY, P.C. RETIREMENT PLAN | 2017 | 270973761 | 2018-10-11 | EASTERN SHORE GASTROENTEROLOGY, P.C. | 5 | |||||||||||||
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EASTERN SHORE GASTROENTEROLOGY, P.C. RETIREMENT PLAN | 2016 | 270973761 | 2017-10-16 | EASTERN SHORE GASTROENTEROLOGY, P.C. | 4 | |||||||||||||
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Name | Role | Address |
---|---|---|
COLEMAN, STEPHEN L | Agent | 217 FAIRHOPE AVENUEFAIRHOPE, AL 36532 |
Name | Role | Address |
---|---|---|
COLEMAN, STEPHEN L | Incorporator | 217 FAIRHOPE AVENUEFAIRHOPE, AL 36532 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State