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JOEL B. BURWELL, D.O., P.A.

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Company Details

Name: JOEL B. BURWELL, D.O., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 14 Jan 1994 (32 years ago)
Business ID: 603821
ZIP code: 39507
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 18 COLONELWINK DRGULFPORT, MS 39507

Agent

Name Role Address
JOEL B BURWELL Agent 18 COLONELWINK DRIVE, GULFPORT, MS 39507

Incorporator

Name Role Address
G TODD BURWELL Incorporator 120 N CONGRESS ST #1000, P O DRAWER 22989, JACKSON, MS 39225
JOEL B BURWELL Incorporator 18 COLONELWINK DRIVE, GULFPORT, MS 39507

National Provider Identifier

NPI Number:
1174677033

Authorized Person:

Name:
GINNY BRYANT
Role:
BILLING SUPERVISOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
640840068
Plan Year:
2009
Number Of Participants:
4
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 1995-11-17 Admin Dissolution
Notice to Dissolve/Revoke Filed 1995-09-18 Notice to Dissolve/Revoke
Notice to Dissolve/Revoke Filed 1995-09-14 Notice to Dissolve/Revoke
Name Reservation Form Filed 1994-01-14 Name Reservation

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Date of last update: 18 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website