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Baldwin Neurology LLC

Details

Name: Baldwin Neurology LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 29 Jan 2008 (17 years ago)
Date of dissolution: 29 Dec 2022
Entity Number: 000-415-424
Register Number: 000415424
County: Baldwin
Place of Formation: Autauga County
Registered Office Street Address: 188 HOSPITAL DRFAIRHOPE, AL 36532
Registered Office Street Address ZIP Code: 36532
Principal Address: FAIRHOPE, AL

Activities NEUROLOGICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265605927 2008-04-02 2008-04-02 188 HOSPITAL DR STE 300, FAIRHOPE, AL, 365322038, US 188 HOSPITAL DR STE 300, FAIRHOPE, AL, 365322038, US

Contacts
Phone +1 251-990-1910
Fax 2519901911

Authorized person
Name DR. ABDEL HAKIM KASMIA
Role CEO
Phone 2519901910

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number MD16221
State AL
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS
Number 515-46871
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BALDWIN NEUROLOGY, LLC 401(K) PLAN 2022 383775824 2023-06-06 BALDWIN NEUROLOGY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621111
Sponsor’s telephone number 2059901910
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 300, FAIRHOPE, AL, 36532
BALDWIN NEUROLOGY, LLC 401(K) PLAN 2021 383775824 2022-05-23 BALDWIN NEUROLOGY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621111
Sponsor’s telephone number 2059901910
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 300, FAIRHOPE, AL, 36532
BALDWIN NEUROLOGY, LLC 401(K) PLAN 2020 383775824 2021-07-23 BALDWIN NEUROLOGY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621111
Sponsor’s telephone number 2059901910
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 300, FAIRHOPE, AL, 36532
BALDWIN NEUROLOGY, LLC 401(K) PLAN 2019 383775824 2020-04-23 BALDWIN NEUROLOGY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621111
Sponsor’s telephone number 2059901910
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 300, FAIRHOPE, AL, 36532
BALDWIN NEUROLOGY, LLC 401(K) PLAN 2018 383775824 2019-07-29 BALDWIN NEUROLOGY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621111
Sponsor’s telephone number 2059901910
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 300, FAIRHOPE, AL, 36532
BALDWIN NEUROLOGY, LLC 401(K) PLAN 2017 383775824 2018-05-23 BALDWIN NEUROLOGY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621111
Sponsor’s telephone number 2059901910
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 300, FAIRHOPE, AL, 36532
BALDWIN NEUROLOGY, LLC 401(K) PLAN 2016 383775824 2017-04-11 BALDWIN NEUROLOGY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621111
Sponsor’s telephone number 2059901910
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 300, FAIRHOPE, AL, 36532
BALDWIN NEUROLOGY, LLC 401(K) PLAN 2015 383775824 2016-05-31 BALDWIN NEUROLOGY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621111
Sponsor’s telephone number 2059901910
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 300, FAIRHOPE, AL, 36532
BALDWIN NEUROLOGY, LLC 401(K) PLAN 2014 383775824 2015-04-09 BALDWIN NEUROLOGY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621111
Sponsor’s telephone number 2059901910
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 300, FAIRHOPE, AL, 36532

Signature of
Role Plan administrator
Date 2015-04-09
Name of individual signing DR. ABDEL KASMIA
BALDWIN NEUROLOGY, LLC 401(K) PLAN 2014 383775824 2015-04-09 BALDWIN NEUROLOGY, LLC 3
Three-digit plan number (PN) 001
Effective date of plan 2008-02-01
Business code 621111
Sponsor’s telephone number 2059901910
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 300, FAIRHOPE, AL, 36532

Signature of
Role Plan administrator
Date 2015-04-09
Name of individual signing DR. ABDEL KASMIA

Agent

Name Role
KASMIA, ABDEL K Agent

Member

Name Role
KASMIA, ABDEL K Member

Related by officers

No related officers

Related by address

188 HOSPITAL DRFAIRHOPE, AL 36532

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Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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