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Eastern Shore Gastroenterology, P.C.

Details

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

National Provider Identifier

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

Contacts

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EASTERN SHORE GASTROENTEROLOGY, P.C. RETIREMENT PLAN 2019 270973761 2020-07-09 EASTERN SHORE GASTROENTEROLOGY, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 2512794600
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 405, FAIRHOPE, AL, 365322018
EASTERN SHORE GASTROENTEROLOGY, P.C. RETIREMENT PLAN 2018 270973761 2019-07-30 EASTERN SHORE GASTROENTEROLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 2512794600
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 405, FAIRHOPE, AL, 365322018
EASTERN SHORE GASTROENTEROLOGY, P.C. RETIREMENT PLAN 2017 270973761 2018-10-11 EASTERN SHORE GASTROENTEROLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 2512794600
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 405, FAIRHOPE, AL, 365322018
EASTERN SHORE GASTROENTEROLOGY, P.C. RETIREMENT PLAN 2016 270973761 2017-10-16 EASTERN SHORE GASTROENTEROLOGY, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 2512794600
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 405, FAIRHOPE, AL, 365322018

Agent

Name Role Address
COLEMAN, STEPHEN L Agent 217 FAIRHOPE AVENUEFAIRHOPE, AL 36532

Incorporator

Name Role Address
COLEMAN, STEPHEN L Incorporator 217 FAIRHOPE AVENUEFAIRHOPE, AL 36532

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State