| Name: | Alaska Family Dermatology LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 19 Feb 2019 (6 years ago) |
| Entity Number: | 10100398 |
| ZIP code: | 99508 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 3340 PROVIDENCE DR STE A358, ANCHORAGE, AK 99508 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Robert Brown | Member |
| Gina Brown | Member |
| Robert Brown | Registered Agent |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALASKA FAMILY DERMATOLOGY 401(K) PLAN | 2023 | 833627993 | 2024-02-02 | 8 | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-02-02 |
| Name of individual signing | ROBERT BROWN |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 1114586 | Active | 2019-02-19 | 2022-10-03 | 2024-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Telemedicine Business Registry | 159010 | Active | 2020-03-18 | - | - | - |
Date of last update: 10 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
