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ENTLC, P.S.C.

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Company Details

Name: ENTLC, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 12 Jan 2004 (22 years ago)
Organization Date: 12 Jan 2004 (22 years ago)
Last Annual Report: 08 May 2015 (10 years ago)
Organization Number: 0576150
ZIP code: 41056
City: Maysville, Sardis
Primary County: Mason County
Principal Office: 491 TUCKER DRIVE, MAYSVILLE, KY 41056
Place of Formation: KENTUCKY
Authorized Shares: 100

Incorporator

Name Role
PAUL A. CONRAD, M.D. Incorporator

Registered Agent

Name Role
PAUL A. CONRAD, M.D. Registered Agent

President

Name Role
Paul A Conrad President

Director

Name Role
Paul A Conrad Director

Shareholder

Name Role
Paul A Conrad Shareholder

National Provider Identifier

NPI Number:
1124217765

Authorized Person:

Name:
DR. PAUL A CONRAD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
231H00000X - Audiologist
Is Primary:
No
Selected Taxonomy:
237700000X - Hearing Instrument Specialist
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
Yes

Contacts:

Fax:
6067590112

Filings

Name File Date
Dissolution 2016-02-04
Annual Report 2015-05-08
Annual Report 2014-03-03
Principal Office Address Change 2013-02-04
Registered Agent name/address change 2013-02-04

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Sources: Kentucky Secretary of State