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R. RITCHIE VAN BUSSUM, MD, PSC

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Company Details

Name: R. RITCHIE VAN BUSSUM, MD, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 28 Jun 2001 (24 years ago)
Organization Date: 28 Jun 2001 (24 years ago)
Last Annual Report: 02 Apr 2014 (11 years ago)
Organization Number: 0518526
ZIP code: 40503
City: Lexington
Primary County: Fayette County
Principal Office: 1760 NICHOLASVILLE RD., STE. 603, LEXINGTON, KY 40503
Place of Formation: KENTUCKY
Authorized Shares: 2000

Registered Agent

Name Role
RITCHIE VAN BUSSUM Registered Agent

Sole Officer

Name Role
R. Ritchie Van Bussum Sole Officer

Shareholder

Name Role
R. Ritchie Van Bussum Shareholder

Incorporator

Name Role
RITCHIE VAN BUSSUM Incorporator

National Provider Identifier

NPI Number:
1205946951

Authorized Person:

Name:
ROBERT RITCHIE VAN BUSSUM
Role:
OWNER PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8592777575

Filings

Name File Date
Administrative Dissolution 2015-09-12
Annual Report 2014-04-02
Annual Report 2013-03-13
Annual Report 2012-02-13
Annual Report 2011-06-06

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Sources: Kentucky Secretary of State