| Name: | Full Spectrum Pediatrics, P.C. |
| Jurisdiction: | Alaska |
| Legal type: | Professional Corporation |
| Status: | Good Standing |
| Date of registration: | 25 Apr 2011 (14 years ago) |
| Entity Number: | 135042 |
| ZIP code: | 99508 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 2925 DEBARR RD STE 125, ANCHORAGE, AK 99508 |
| Supporting healthcare providers fighting with COVID-19: | $30,648 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Stephen S. Baker, M.D. | Director |
| Stephen S. Baker, M.D. | President |
| Stephen S. Baker, M.D. | Secretary |
| Stephen S. Baker, M.D. | Shareholder |
| Stephen S. Baker, M.D. | Treasurer |
| DLG SERVICES, INC. | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 958193 | Business License | Active | 2011-05-06 | 2024-12-03 | 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 |
|---|---|---|---|---|---|---|
| 159708 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-26 | 2020-03-26 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
