| Name: | Hesterman Dermatology, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 07 Aug 2020 (4 years ago) |
| Entity Number: | 000-643-822 |
| Register Number: | 000643822 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 1712 MONTDALE ROADHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700478047 | 2021-02-08 | 2021-02-08 | 2313 WHITESBURG DR SE, HUNTSVILLE, AL, 358013819, US | 2313 WHITESBURG DR SE, HUNTSVILLE, AL, 358013819, US | |||||||||||||
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| Phone | +1 256-290-1160 |
Authorized person
| Name | KATHLEEN HESTERMAN |
| Role | OWNER |
| Phone | 2812243081 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HESTERMAN DERMATOLOGY, LLC 401(K) PLAN | 2023 | 852548754 | 2024-05-15 | HESTERMAN DERMATOLOGY, LLC | 5 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-15 |
| Name of individual signing | KATHLEEN HESTERMAN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2812249319 |
| Plan sponsor’s address | 2313 WHITESBURG DRIVE, HUNTSVILLE, AL, 35801 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-04 |
| Name of individual signing | KATHLEEN HESTERMAN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2812249319 |
| Plan sponsor’s address | 2313 WHITESBURG DRIVE, HUNTSVILLE, AL, 35801 |
Signature of
| Role | Plan administrator |
| Date | 2022-08-31 |
| Name of individual signing | KATHLEEN HESTERMAN |
| Name | Role |
|---|---|
| HESTERMAN, KATHLEEN | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
