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DAVID G. SANFORD, M.D., P.S.C.

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Company Details

Name: DAVID G. SANFORD, M.D., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 09 Dec 2002 (22 years ago)
Organization Date: 09 Dec 2002 (22 years ago)
Last Annual Report: 10 Jun 2022 (3 years ago)
Organization Number: 0549492
ZIP code: 40965
City: Middlesboro
Primary County: Bell County
Principal Office: 1502 CUMBERLAND AVENUE, MIDDLESBORO, KY 40965
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
DAVID G SANFORD, M.D. Registered Agent

Incorporator

Name Role
DAVID G SANFORD, M.D. Incorporator

President

Name Role
David G Sanford President

Director

Name Role
David G Sanford Director

Shareholder

Name Role
David G Sanford Shareholder

National Provider Identifier

NPI Number:
1285740951

Authorized Person:

Name:
DAVID GEORGE SANFORD
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
6062481384

Form 5500 Series

Employer Identification Number (EIN):
810572206
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
8
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution 2023-10-04
Annual Report 2022-06-10
Annual Report 2021-08-24
Annual Report 2020-06-23
Annual Report 2019-06-04

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Sources: Kentucky Secretary of State