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Michelle Randolph, M.D., P.C.

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Details

Entity Number 10010785

Status Good Standing

NameMichelle Randolph, M.D., P.C.

Date of registration 04 Feb 2013 (12 years ago)

Legal typeProfessional Corporation

Place of FormationALASKA

Address 2741 DEBARR ROAD SUITE 402, ANCHORAGE, AK 99508

Address ZIP code 99508

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

MICHELLE RANDOLPH, M.D., P.C. 401(K) PLAN

2023

462106759

2024-08-27

MICHELLE RANDOLPH, M.D., P.C.

4

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Three-digit plan number (PN)001
Effective date of plan2020-11-15
Business code621111
Sponsor’s telephone number9072225077
Plan sponsor’s address2741 DEBARR ROAD, SUITE 402, ANCHORAGE, AK, 99508

MICHELLE RANDOLPH, M.D., P.C. 401(K) PLAN

2022

462106759

2023-09-25

MICHELLE RANDOLPH, M.D., P.C.

3

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Three-digit plan number (PN)001
Effective date of plan2020-11-25
Business code621111
Sponsor’s telephone number9072225077
Plan sponsor’s address2741 DEBARR ROAD, SUITE 402, ANCHORAGE, AK, 99508

Shareholder

Name Role

Michelle Randolph

Shareholder

Registered Agent

Name Role

Carolyn Heyman-Layne

Registered Agent

Treasurer

Name Role

Michelle Randolph

Treasurer

Vice President

Name Role

Michelle Randolph

Vice President

Director

Name Role

Michelle Randolph

Director

President

Name Role

Michelle Randolph

President

Secretary

Name Role

Michelle Randolph

Secretary

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description

Business License

985754

Active

2013-02-22

2022-11-08

2024-12-31

LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Date of last update: 26 Aug 2024

Sources

Company info