Entity Number 110746
Status Good Standing
NamePierre M. Johnson, MD PC
Date of registration 22 Aug 2007 (17 years ago) 22 Aug 2007
Legal typeProfessional Corporation
Place of FormationALASKA
Address 2555 PHILLIPS FIELD RD, FAIRBANKS, AK 99709
Address ZIP code 99709
PIERRE M JOHNSON MD PC MEDOVA LIFESTYLE HEALTH PLAN
2020
260827369
2023-06-02
PIERRE M JOHNSON MD PC
4
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2019-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9073282920 |
| Plan sponsor’s address | 2555 PHILLIPS FIELD RD, FAIRBANKS, AK, 997093933 |
Plan administrator’s name and address
| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-01 |
| Name of individual signing | ROBERT MOORE |
PIERRE JOHNSON
Director
PIERRE JOHNSON
President
PIERRE JOHNSON
Secretary
PIERRE JOHNSON
Treasurer
Pierre M Johnson
Registered Agent
Date of last update: 26 Aug 2024
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