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MITCHELL WICKER, JR., M.D., P.S.C.

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Company Details

Name: MITCHELL WICKER, JR., M.D., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 04 Aug 1983 (42 years ago)
Organization Date: 04 Aug 1983 (42 years ago)
Last Annual Report: 31 May 2017 (8 years ago)
Organization Number: 0180274
ZIP code: 41701
City: Hazard, Browns Fork, Typo, Walkertown
Primary County: Perry County
Principal Office: 271 E. MAIN ST., P. O. BOX 719, HAZARD, KY 41701
Place of Formation: KENTUCKY
Common No Par Shares: 1000

Sole Officer

Name Role
Mitchell Wicker, Jr Sole Officer

Incorporator

Name Role
MITCHELL WICKER, JR., M. Incorporator

Registered Agent

Name Role
DR. MITCHELL WICKER, JR. Registered Agent

Shareholder

Name Role
Mitchell Wicker, Jr Shareholder

Director

Name Role
MITCHELL WICKER, JR., M. Director

National Provider Identifier

NPI Number:
1629249560

Authorized Person:

Name:
MITCHELL WICKER JR.
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6064394224

Assumed Names

Name Status Expiration Date
HAZARD CLINIC Inactive 2013-07-15
JACKSON CLINIC Inactive 2010-03-27

Filings

Name File Date
Administrative Dissolution 2018-10-16
Annual Report 2017-05-31
Annual Report 2016-07-05
Annual Report 2015-06-26
Annual Report 2014-07-17

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Sources: Kentucky Secretary of State