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Alabama Dermatology and Skin Specialists, LLC

Details

Name: Alabama Dermatology and Skin Specialists, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 15 Nov 2021 (3 years ago) (Companies founded in November 2021)
Entity Number: 000-952-937
Register Number: 000952937
ZIP code: 35802 (Companies in Madison, 35802)
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 2045 CECIL ASHBURN DR STE 201HUNTSVILLE, AL 35802

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
W5AFLPZ8MNT9 2024-11-26 2045 CECIL ASHBURN DR SE, STE 201, HUNTSVILLE, AL, 35802, 2564, USA 2045 CECIL ASHBURN DR. SE, SUITE 201, HUNTSVILLE, AL, 35802, USA

Business Information

Doing Business As ALABAMA DERMATOLOGY & SKIN SPECIALISTS
URL www.alderm.com
Division Name ALABAMA DERMATOLOGY & SKIN SPECIALISTS
Congressional District 05
State/Country of Incorporation AL, USA
Activation Date 2023-11-30
Initial Registration Date 2023-10-24
Entity Start Date 2023-02-01
Fiscal Year End Close Date Dec 24

Service Classifications

NAICS Codes 621111

Points of Contacts

Electronic Business
Title PRIMARY POC
Name LINDSEY SANDERSON
Role FINANCIAL MANAGER
Address 2045 CECIL ASHBURN SE, SUITE 201, HUNTSVILLE, AL, 35802, USA
Government Business
Title PRIMARY POC
Name LINDSEY SANDERSON
Role FINANCIAL MANAGER
Address 2045 CECIL ASHBURN SE, SUITE 201, HUNTSVILLE, AL, 35802, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700543618 2021-11-26 2022-01-19 2045 CECIL ASHBURN DR SE STE 201, HUNTSVILLE, AL, 358022564, US 2045 CECIL ASHBURN DR SE STE 201, HUNTSVILLE, AL, 358022564, US

Contacts

Phone +1 256-925-3376

Authorized person

Name JOHN MACARTHUR EVANS
Role OWNER
Phone 2569253376

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALABAMA DERMATOLOGY AND SKIN SPECIALISTS 401(K) PLAN 2023 873642909 2024-06-07 ALABAMA DERMATOLOGY AND SKIN SPECIALISTS, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 2569253376
Plan sponsor’s address 2045 CECIL ASHBURN DRIVE, SE, SUITE 201, HUNTSVILLE, AL, 35802

Signature of

Role Plan administrator
Date 2024-06-07
Name of individual signing TAMMIE DROPPLEMAN

Agent

Name Role
JOHN EVANS Agent

Organizer

Name Role Address
Bogard, Howard E. Organizer 420 No. 20th St., Ste. 3400Birmingham, AL 35203

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State