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MICHAEL J. GOODWIN, M.D., P.S.C.

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Company Details

Name: MICHAEL J. GOODWIN, M.D., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 13 Feb 1992 (34 years ago)
Organization Date: 13 Feb 1992 (34 years ago)
Last Annual Report: 30 Aug 2017 (8 years ago)
Organization Number: 0296738
ZIP code: 41101
City: Ashland, Summitt, Westwood
Primary County: Boyd County
Principal Office: 1000 ASHLAND DRIVE, STE. 103, ASHLAND, KY 41101
Place of Formation: KENTUCKY
Authorized Shares: 1000

Sole Officer

Name Role
Michael J Goodwin Sole Officer

Shareholder

Name Role
Michael J Goodwin Shareholder

Incorporator

Name Role
MICHAEL J. GOODWIN Incorporator

Registered Agent

Name Role
Dinsmore Agent Co. Registered Agent

Director

Name Role
MICHAEL J. GOODWIN, M.D. Director

National Provider Identifier

NPI Number:
1659556603

Authorized Person:

Name:
DR. MICHAEL J. GOODWIN
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6063240126

Form 5500 Series

Employer Identification Number (EIN):
611213539
Plan Year:
2016
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
10
Sponsors Telephone Number:

Filings

Name File Date
Dissolution 2017-08-30
Annual Report 2017-08-30
Registered Agent name/address change 2017-06-20
Annual Report 2016-03-18
Annual Report 2015-04-08

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Sources: Kentucky Secretary of State