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Advanced Orthopaedics, LLC

Details

Name: Advanced Orthopaedics, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 Sep 2009 (15 years ago)
Entity Number: 000-438-472
Register Number: 000438472
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 1094 DAUPHIN ISLAND PKWYMOBILE, AL 36605
Registered Office Street Address ZIP Code: 36605

Activities OPERATE MEDICAL FACILITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407182264 2009-10-28 2010-06-16 PO BOX 850489, MOBILE, AL, 366850489, US 6701 AIRPORT BLVD, SUITE B114, MOBILE, AL, 366086705, US

Contacts
Phone +1 251-342-3949
Fax 2516313361

Authorized person
Name DR. WILLIAM JOSEPH BOSE
Role SOLE PROPRIETOR
Phone 2513423949

Taxonomy
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number 14196
State AL
Is Primary Yes
Taxonomy Code 332BC3200X - Customized Equipment (DME)
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 117142
State AL
Issuer BLUE CROSS OF AL
Number 511-01345

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED ORTHOPAEDICS DEFINED BENEFIT PLAN 2022 270972159 2023-09-03 ADVANCED ORTHOPAEDICS 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2513002902
Plan sponsor’s address 2866 DAUPHIN ST. STE S, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2023-09-03
Name of individual signing WILLIAM BOSE
ADVANCED ORTHOPAEDICS 401(K) PROFIT SHARING PLAN 2022 270972159 2023-09-03 ADVANCED ORTHOPAEDICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2513002902
Plan sponsor’s address 2866 DAUPHIN ST. STE S, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2023-09-03
Name of individual signing WILLIAM BOSE
ADVANCED ORTHOPAEDICS DEFINED BENEFIT PLAN 2021 270972159 2022-09-27 ADVANCED ORTHOPAEDICS 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2513002902
Plan sponsor’s address 2866 DAUPHIN ST. STE S, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing WILLIAM BOSE
ADVANCED ORTHOPAEDICS 401(K) PROFIT SHARING PLAN 2021 270972159 2022-09-27 ADVANCED ORTHOPAEDICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2513002902
Plan sponsor’s address 2866 DAUPHIN ST. STE S, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing WILLIAM BOSE
ADVANCED ORTHOPAEDICS 401(K) PROFIT SHARING PLAN 2020 270972159 2021-09-18 ADVANCED ORTHOPAEDICS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2513002902
Plan sponsor’s address 6701 AIRPORT BLVD, SUITE B 117, MOBILE, AL, 36608

Signature of
Role Plan administrator
Date 2021-09-18
Name of individual signing WILLIAM BOSE
ADVANCED ORTHOPAEDICS DEFINED BENEFIT PLAN 2020 270972159 2021-09-20 ADVANCED ORTHOPAEDICS 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2513002902
Plan sponsor’s address 2866 DAUPHIN STREET, SUITE S, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2021-09-20
Name of individual signing WILLIAM BOSE
ADVANCED ORTHOPAEDICS DEFINED BENEFIT PLAN 2019 270972159 2020-09-23 ADVANCED ORTHOPAEDICS 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2513002902
Plan sponsor’s address 2866 DAUPHIN STREET, SUITE S, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2020-09-23
Name of individual signing WILLIAM BOSE
ADVANCED ORTHOPAEDICS 401(K) PROFIT SHARING PLAN 2019 270972159 2020-09-23 ADVANCED ORTHOPAEDICS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2513002902
Plan sponsor’s address 6701 AIRPORT BLVD, SUITE B 117, MOBILE, AL, 36608

Signature of
Role Plan administrator
Date 2020-09-23
Name of individual signing WILLIAM BOSE
ADVANCED ORTHOPAEDICS DEFINED BENEFIT PLAN 2018 270972159 2019-10-09 ADVANCED ORTHOPAEDICS 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2513002902
Plan sponsor’s address 6701 AIRPORT BLVD, SUITE B 117, MOBILE, AL, 36608

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing WILLIAM BOSE
ADVANCED ORTHOPAEDICS 401(K) PROFIT SHARING PLAN 2018 270972159 2019-10-09 ADVANCED ORTHOPAEDICS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2513002902
Plan sponsor’s address 6701 AIRPORT BLVD, SUITE B 117, MOBILE, AL, 36608

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing WILLIAM BOSE

Agent

Name Role
BARNARD, EATON G Agent

Member

Name Role
BOSE, WILLIAM J Member

Related by officers

BARNARD, EATON G

Duhe' & Barnard, P.C. Eaton G. Barnard, P.C. Duhe', Barnard & Perloff, P.C. Three Tree Investments, LLC WBB Properties, LLC

BOSE, WILLIAM J

WJB Properties, L.L.C. JB Properties, L.L.C. BB Properties, L.L.C. JJB Properties, L.L.C. BB Del Rio, LLC Jake Investments, L.L.C. Bose Construction, L.L.C. Tog Properties, LLC

Related by address

1094 DAUPHIN ISLAND PKWYMOBILE, AL 36605

M & H Properties, LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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