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JASON SAMUEL, CHARTERED

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Company Details

Name: JASON SAMUEL, CHARTERED
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 26 Jun 1978 (47 years ago)
Organization Date: 26 Jun 1978 (47 years ago)
Last Annual Report: 01 Apr 2015 (10 years ago)
Organization Number: 0110088
ZIP code: 42420
City: Henderson
Primary County: Henderson County
Principal Office: SUITE 310 - IMPERIAL BLDG., 110 THIRD ST., HENDERSON, KY 42420
Place of Formation: KENTUCKY
Common No Par Shares: 100

Registered Agent

Name Role
JASON SAMUEL, M.D. Registered Agent

President

Name Role
Jason Samuel President

Director

Name Role
JASON SAMUEL Director

Incorporator

Name Role
JASON SAMUEL, M.D. Incorporator

National Provider Identifier

NPI Number:
1629143342

Authorized Person:

Name:
JASON T SAMUEL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
2708275385

Filings

Name File Date
Dissolution 2016-04-20
Annual Report 2015-04-01
Annual Report 2014-09-15
Annual Report 2013-01-09
Annual Report 2012-06-26

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Sources: Kentucky Secretary of State