| 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 |
| Supporting healthcare providers fighting with COVID-19: | $38,097 |
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 |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 1114586 | Business License | Active | 2019-02-19 | 2024-10-03 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 159010 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-18 | 2020-03-18 | - |
| Document Number | Date | Status | Index | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2019-007642-8 | 2019-05-03 | LAPSED | FS - FINANCING STATEMENT | |||||||||||||||||||
|
||||||||||||||||||||||
| Name | Alaska Family Dermatology LLC |
| Role | Debtor |
| Name | FIRST NATIONAL BANK ALASKA |
| Role | Secured |
Date of last update: 03 Feb 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
