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BASSAM YOUSEF, M.D., P.S.C.

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Company Details

Name: BASSAM YOUSEF, M.D., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 12 Jan 2004 (22 years ago)
Organization Date: 12 Jan 2004 (22 years ago)
Last Annual Report: 29 Jun 2018 (7 years ago)
Organization Number: 0576159
Principal Office: 10453 WATERFORD PLACE, 10453 WATERFORD PLACE, NEUBURGH, IN 47630
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
BASSAM YOUSEF, M.D Registered Agent

President

Name Role
BASSAM YOUSEF, M.D. President

Shareholder

Name Role
BASSAM YOUSEF, M.D. Shareholder

Incorporator

Name Role
BASSAM YOUSEF, M.D Incorporator

National Provider Identifier

NPI Number:
1730378365

Authorized Person:

Name:
DR. BASSAM YOUSEF
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2708698584

Filings

Name File Date
Administrative Dissolution 2019-10-16
Annual Report 2018-06-29
Principal Office Address Change 2017-06-29
Annual Report Amendment 2017-06-29
Annual Report 2017-04-25

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Sources: Kentucky Secretary of State