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HENRY C. GOODMAN, M.D., P.S.C.

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Company Details

Name: HENRY C. GOODMAN, M.D., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 10 Jun 1985 (40 years ago)
Organization Date: 10 Jun 1985 (40 years ago)
Last Annual Report: 05 Aug 2015 (10 years ago)
Organization Number: 0202655
Principal Office: 55495 MEDALLIST DR., LA QUINTA, CA 92253
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
KENNETH WILLIAMS JR. Registered Agent

Sole Officer

Name Role
Henry C. Goodman, MD Sole Officer

Director

Name Role
Henry C. Goodman, MD Director
HENRY C. GOODMAN, M.D. Director

Shareholder

Name Role
HENRY C GOODMAN Shareholder

Incorporator

Name Role
HENRY C. GOODMAN, M.D. Incorporator

National Provider Identifier

NPI Number:
1851513170

Authorized Person:

Name:
DR. HENRY CARL GOODMAN
Role:
NEUROLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
6063246291

Form 5500 Series

Employer Identification Number (EIN):
611076680
Plan Year:
2013
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
4
Sponsors Telephone Number:

Filings

Name File Date
Dissolution 2016-01-12
Registered Agent name/address change 2015-08-24
Principal Office Address Change 2015-08-24
Annual Report 2015-08-05
Annual Report 2014-07-31

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Sources: Kentucky Secretary of State