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MEDIFEM HEALTH, P.S.C.

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Company Details

Name: MEDIFEM HEALTH, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 26 Dec 1974 (51 years ago)
Organization Date: 26 Dec 1974 (51 years ago)
Last Annual Report: 01 Jun 2020 (5 years ago)
Organization Number: 0148812
ZIP code: 40218
City: Louisville, Buechel, Watterson Park, Watterson Pk
Primary County: Jefferson County
Principal Office: 1930 BISHOP LANE, SUITE 130, LOUISVILLE, KY 40218
Place of Formation: KENTUCKY
Authorized Shares: 1000

Incorporator

Name Role
RONALD L. LEVINE M. D. Incorporator

Director

Name Role
Jeffrey D Glazer Director
RONALD L. LEVINE, M.D. Director

Sole Officer

Name Role
Jeffrey D Glazer Sole Officer

Shareholder

Name Role
Jeffrey D Glazer Shareholder

Registered Agent

Name Role
WILLIAM H. ENGLE Registered Agent

National Provider Identifier

NPI Number:
1518971571

Authorized Person:

Name:
DR. JEFFREY D GLAZER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LW0102X - Women's Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207VG0400X - Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
5025890643

Form 5500 Series

Employer Identification Number (EIN):
610869799
Plan Year:
2011
Number Of Participants:
0
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
10
Sponsors Telephone Number:

Former Company Names

Name Action
LEVINE AND WATSON, P.S.C. Old Name
RONALD L. LEVINE, P. S. C. Old Name

Filings

Name File Date
Dissolution 2021-01-08
Annual Report 2020-06-01
Principal Office Address Change 2019-04-20
Annual Report 2019-04-20
Registered Agent name/address change 2019-04-20

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Sources: Kentucky Secretary of State