| Name: | Pierre M. Johnson, MD PC |
| Jurisdiction: | Alaska |
| Legal type: | Professional Corporation |
| Status: | Good Standing |
| Date of registration: | 22 Aug 2007 (17 years ago) |
| Entity Number: | 110746 |
| ZIP code: | 99709 |
| County: | Fairbanks North Star |
| Place of Formation: | ALASKA |
| Address: | 2555 PHILLIPS FIELD RD, FAIRBANKS, AK 99709 |
| Name | Role |
|---|---|
| PIERRE JOHNSON | Director |
| PIERRE JOHNSON | President |
| PIERRE JOHNSON | Secretary |
| PIERRE JOHNSON | Shareholder |
| Pierre M Johnson | Registered Agent |
| PIERRE JOHNSON | Treasurer |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PIERRE M JOHNSON MD PC MEDOVA LIFESTYLE HEALTH PLAN | 2020 | 260827369 | 2023-06-02 | 4 | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-01 |
| Name of individual signing | ROBERT MOORE |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Telemedicine Business Registry | 159168 | Active | 2020-03-20 | - | - | - |
Date of last update: 11 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
