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Wiregrass Vascular, P.C.

Details

Name: Wiregrass Vascular, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 09 Jun 2010 (14 years ago) (Companies founded in June 2010)
Entity Number: 000-264-440
Register Number: 000264440
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 102 KENYON COURTDOTHAN, AL 36303
Authorized Capital: $1,200

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235443417 2010-07-30 2010-07-30 112 HAVEN DR, SUITE 1, DOTHAN, AL, 363012907, US 112 HAVEN DR, SUITE 1, DOTHAN, AL, 363012907, US

Contacts
Phone +1 334-673-0049

Authorized person
Name WILLIAM N VEALE II
Role OWNER/PRESIDENT
Phone 3346730049

Taxonomy
Taxonomy Code 208600000X - Surgery Physician
License Number 30278
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WIREGRASS VASCULAR, P.C. PROFIT SHARING PLAN 2015 272819637 2016-06-27 WIREGRASS VASCULAR, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-06-09
Business code 621111
Sponsor’s telephone number 3346730049
Plan sponsor’s address 112 HAVEN DRIVE, STE 1, DOTHAN, AL, 36301
WIREGRASS VASCULAR, P.C. PROFIT SHARING PLAN 2014 272819637 2015-08-13 WIREGRASS VASCULAR, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-06-09
Business code 621111
Sponsor’s telephone number 3346730049
Plan sponsor’s address 112 HAVEN DRIVE, STE 1, DOTHAN, AL, 36301
WIREGRASS VASCULAR, P.C. PROFIT SHARING PLAN 2013 272819637 2014-09-04 WIREGRASS VASCULAR, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-06-09
Business code 621111
Sponsor’s telephone number 3346730049
Plan sponsor’s address 112 HAVEN DRIVE, STE 1, DOTHAN, AL, 36301
WIREGRASS VASCULAR, P.C. PROFIT SHARING PLAN 2012 272819637 2013-10-10 WIREGRASS VASCULAR, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-06-09
Business code 621111
Sponsor’s telephone number 3346730049
Plan sponsor’s address 112 HAVEN DRIVE, STE 1, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing WILLIAM H. VEALE, JR
WIREGRASS VASCULAR, P.C. PROFIT SHARING PLAN 2011 272819637 2012-07-30 WIREGRASS VASCULAR, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-06-09
Business code 621111
Sponsor’s telephone number 3346730049
Plan sponsor’s address 112 HAVEN DRIVE, STE 1, DOTHAN, AL, 36301

Plan administrator’s name and address
Administrator’s EIN 272819637
Plan administrator’s name WIREGRASS VASCULAR, P.C.
Plan administrator’s address 112 HAVEN DRIVE, STE 1, DOTHAN, AL, 36301
Administrator’s telephone number 3346730049

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing WILLIAM H. VEALE, JR
WIREGRASS VASCULAR, P.C. PROFIT SHARING PLAN 2010 272819637 2011-07-14 WIREGRASS VASCULAR, P.C. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-06-09
Business code 621111
Sponsor’s telephone number 3346730049
Plan sponsor’s address 112 HAVEN DRIVE, STE 1, DOTHAN, AL, 36301

Plan administrator’s name and address
Administrator’s EIN 272819637
Plan administrator’s name WIREGRASS VASCULAR, P.C.
Plan administrator’s address 112 HAVEN DRIVE, STE 1, DOTHAN, AL, 36301
Administrator’s telephone number 3346730049

Signature of
Role Plan administrator
Date 2011-07-14
Name of individual signing WILLIAM H. VEALE, JR

Agent

Name Role
VEALE, WILLIAM N JR Agent

Incorporator

Name Role Address
JOHNSTON, G DAVID Incorporator 291 NORTH OATES STDOTHAN, AL 36303

Related by officers

JOHNSTON, G DAVID

Southeast Management Services, Inc. C. F. Fischer & Associates, Inc. Johnston Hinesley PC K-JAMS, Inc. Helicopter Support Company, Inc. HNB Holding Company, Inc. Enterprise Chevrolet, Inc. Johnston, Hinesley, Flowers & Clenney, L.L.P. Monarch USA LLC Old River Road Investments, LLC

Related by address

DOTHAN, AL

A & M Electrical Construction Co., Inc. Acme Auction Company of Dothan, Inc. Acme Lease-A-Car, Inc. Acme Roofing and Sheet Metal Company, Inc. Adams Foods, Inc. Adams Trading Center Alabama Electric Company, Inc. of Dothan Art & Craft Hut, Inc. Southeastern Cabinet Co., Inc. Auto Electric Company of Alabama, Incorporated

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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