Veronox Anesthesia, LLC

Contacts

Phone	+1 334-279-1450
Fax	3342791450
Fax	3342791660

Authorized person

Name	CHRIS CLAASSEN
Role	AUTHORIZED REPRESENTATIVE
Phone	3342791450

Taxonomy

Taxonomy Code	207L00000X - Anesthesiology Physician
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621399
Sponsor’s telephone number	3344752324
Plan sponsor’s address	222 TARTAN WAY, ENTERPRISE, AL, 36330

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621399
Sponsor’s telephone number	3344752324
Plan sponsor’s address	222 TARTAN WAY, ENTERPRISE, AL, 36330

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621399
Sponsor’s telephone number	3344752324
Plan sponsor’s address	222 TARTAN WAY, ENTERPRISE, AL, 36330

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621399
Sponsor’s telephone number	3344752324
Plan sponsor’s address	222 TARTAN WAY, ENTERPRISE, AL, 36330

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621399
Sponsor’s telephone number	3344752324
Plan sponsor’s address	222 TARTAN WAY, ENTERPRISE, AL, 36330

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621399
Sponsor’s telephone number	3344752324
Plan sponsor’s address	222 TARTAN WAY, ENTERPRISE, AL, 36330

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621399
Sponsor’s telephone number	3344752324
Plan sponsor’s address	222 TARTAN WAY, ENTERPRISE, AL, 36330

Signature of

Role	Plan administrator
Date	2019-04-23
Name of individual signing	CHRIS CLAASSEN