| Name: | Plessala Gynecology & Fertility, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Nov 2022 (2 years ago) |
| Entity Number: | 001-049-644 |
| Register Number: | 001049644 |
| ZIP code: | 36608 |
| County: | Mobile |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 6701 Airport Blvd., B-229Mobile, AL 36608 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043929672 | 2022-11-22 | 2022-11-28 | 6701 AIRPORT BLVD STE B229, MOBILE, AL, 366086703, US | 6701 AIRPORT BLVD STE B229, MOBILE, AL, 366086703, US | |||||||||||||||
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| Phone | +1 251-634-8124 |
| Phone | +1 251-344-2760 |
Authorized person
| Name | DR. KIRBY J. PLESSALA |
| Role | PHYSICIAN/OWNER |
| Phone | 2513442760 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PLESSALA GYNECOLOGY & FERTILITY, PLLC 401(K) PLAN | 2023 | 884301279 | 2024-08-08 | PLESSALA GYNECOLOGY & FERTILITY, PLLC | 0 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-08 |
| Name of individual signing | DR. KIRBY PLESSALA |
| Name | Role | Address |
|---|---|---|
| Plessala, Kirby J M.D. | Agent | 6701 Airport Blvd., B-229Mobile, AL 36608 |
| Name | Role | Address |
|---|---|---|
| Plessala, Kirby J M.D. | Organizer | 6701 Airport Blvd., B-229Mobile, AL 36608 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
