| Name: | Mary Ann Jacob, M.D., LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 02 Jun 2010 (15 years ago) |
| Entity Number: | 128883 |
| ZIP code: | 99508 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 2841 DEBARR ROAD SUITE 45, ANCHORAGE, AK 99508 |
| Mailing Address: | PO BOX 141789, ANCHORAGE, AK 99514-1789 |
| Supporting healthcare providers fighting with COVID-19: | $48,013 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Mary Ann Jacob | Member |
| Mary Ann Jacob | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 945508 | Business License | Active | 2010-06-25 | 2023-10-18 | 2024-12-31 | 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 |
|---|---|---|---|---|---|---|
| 160192 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-04-03 | 2020-04-03 | - |
Date of last update: 23 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
