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ANESTHESIOLOGY MEDICAL SERVICES, PSC

Company Details

Name: ANESTHESIOLOGY MEDICAL SERVICES, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 15 Mar 2002 (23 years ago)
Organization Date: 15 Mar 2002 (23 years ago)
Last Annual Report: 30 Jun 2011 (14 years ago)
Organization Number: 0533046
ZIP code: 42301
City: Owensboro, Saint Joseph, St Joseph, Stanley
Primary County: Daviess County
Principal Office: 401 FREDERICA ST., BLDG. D, STE. 104, OWENSBORO, KY 42301
Place of Formation: KENTUCKY
Authorized Shares: 2000

Registered Agent

Name Role
BRENDA CLAYTON Registered Agent

Incorporator

Name Role
JERRY H. TITEL, M.D. Incorporator

President

Name Role
Jerry H Titel MD President

Director

Name Role
Jerry H Titel MD Director

Shareholder

Name Role
Jerry H Titel, MD Shareholder

National Provider Identifier

NPI Number:
1144253840

Authorized Person:

Name:
JERRY H TITLE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
2706841186

Filings

Name File Date
Administrative Dissolution 2012-09-11
Annual Report 2011-06-30
Annual Report 2010-04-23
Annual Report 2009-03-12
Annual Report 2008-02-25

Sources: Kentucky Secretary of State