| Name: | Simon Williamson Clinic Pediatrics, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 29 Nov 2022 (2 years ago) (Companies founded in November 2022) |
| Entity Number: | 001-051-078 |
| Register Number: | 001051078 |
| ZIP code: | 35211 (Companies in Jefferson, 35211) |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Principal Address: | 832 Princeton Avenue S.W., Suite 100Birmingham, AL 35211 |
| Authorized Capital: | 5000 |
| Paid Share Capital: | 1.00 |
Activities
Engage in medical services
rendering professional services and services ancillary thereto.
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154031789 | 2022-12-05 | 2022-12-05 | 832 PRINCETON AVE SW STE 100, BIRMINGHAM, AL, 352111320, US | 832 PRINCETON AVE SW STE 100, BIRMINGHAM, AL, 352111320, US | |||||||||||||||
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| Phone | +1 205-206-8480 |
| Fax | 2052068448 |
Authorized person
| Name | DR. ELIZABETH SAHLIE |
| Role | SHAREHOLDER |
| Phone | 2052068480 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SWC PEDIATRICS 401(K) PLAN | 2023 | 921184350 | 2024-08-28 | SIMON WILLIAMSON CLINIC PEDIATRICS, P.C. | 0 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 630926271 |
| Plan administrator’s name | BENETECH ADMINISTRATORS, INC. |
| Plan administrator’s address | P.O. BOX 530967, BIRMINGHAM, AL, 35253 |
| Administrator’s telephone number | 2058792824 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-28 |
| Name of individual signing | ALAN SPAIN |
| Name | Role | Address |
|---|---|---|
| Sahlie, Elizabeth M.D. | Agent | 832 Princeton Avenue S.W., Suite 100Birmingham, AL 35211 |
| Name | Role | Address |
|---|---|---|
| Sahlie, Elizabeth M.D. | Incorporator | 832 Princeton Avenue S.W., Suite 100Birmingham, AL 35211 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
