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GLEN RAY BAKER, JR., P.S.C.

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Company Details

Name: GLEN RAY BAKER, JR., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 01 Oct 1976 (49 years ago)
Organization Date: 01 Oct 1976 (49 years ago)
Last Annual Report: 31 Aug 2020 (5 years ago)
Organization Number: 0075574
ZIP code: 40701
City: Corbin, Keavy, Woodbine
Primary County: Whitley County
Principal Office: 1200 RAVENWOOD DRIVE, CORBIN, KY 40701
Place of Formation: KENTUCKY
Authorized Shares: 2000

Director

Name Role
GLEN RAY BAKER, JR. Director

Incorporator

Name Role
GLEN RAY BAKER, JR. Incorporator

Sole Officer

Name Role
Glen R Baker Sole Officer

Registered Agent

Name Role
GLEN RAY BAKER, JR. Registered Agent

Shareholder

Name Role
GLEN R BAKER Shareholder

National Provider Identifier

NPI Number:
1659544336

Authorized Person:

Name:
DR. GLEN RAY BAKER JR.
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
6065231593

Assumed Names

Name Status Expiration Date
CORBIN MEDICAL ASSOCIATES Inactive -

Filings

Name File Date
Administrative Dissolution 2021-10-19
Annual Report 2020-08-31
Annual Report 2019-05-08
Annual Report 2018-06-29
Annual Report 2017-05-21

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Sources: Kentucky Secretary of State