| Name: | Anchorage Fracture and Orthopaedic Clinic, P.C. |
| Jurisdiction: | Alaska |
| Legal type: | Professional Corporation |
| Status: | Good Standing |
| Date of registration: | 25 Mar 2005 (20 years ago) |
| Entity Number: | 91057 |
| ZIP code: | 99508 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 4100 LAKE OTIS PARKWAY, SUITE 108, ANCHORAGE, AK 99508 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Douglas P Prevost, M.D. | President |
| DLG SERVICES, INC. | Registered Agent |
| Bradley Sparks, MD | Director |
| Bradley Sparks, MD | Shareholder |
| Bradley Sparks, MD | Secretary |
| Bradley Sparks, MD | Treasurer |
| John E Lapkass, M.D. | Director |
| John E Lapkass, M.D. | Shareholder |
| John E Lapkass, M.D. | Vice President |
| Douglas P Prevost, M.D. | Director |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5493007WHQHR9QR8PU82 | 91057 | US-AK | GENERAL | ACTIVE | 2005-03-25 | |||||||||||||||||||
|
||||||||||||||||||||||||
| Legal | C/O DLG SERVICES, INC., 1400 W BENSON BLD STE 370, Anchorage, US-AK, US, 99503 |
| Headquarters | 4100 Lake Otis, Suite 108, Anchorage, US-AK, US, 99508 |
Registration details
| Registration Date | 2022-08-25 |
| Last Update | 2023-09-12 |
| Status | LAPSED |
| Next Renewal | 2023-09-12 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 91057 |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 1067087 | Business License | Active | 2018-01-22 | 2024-12-26 | 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 |
|---|---|---|---|---|---|---|
| 159518 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-25 | 2020-03-25 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
