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METRO PROVIDERS, PLLC

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Company Details

Name: METRO PROVIDERS, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 10 Aug 2004 (21 years ago)
Organization Date: 10 Aug 2004 (21 years ago)
Last Annual Report: 22 Mar 2009 (16 years ago)
Managed By: Members
Organization Number: 0592190
ZIP code: 40203
City: Louisville
Primary County: Jefferson County
Principal Office: PO BOX 3783, LOUISVILLE, KY 40203
Place of Formation: KENTUCKY

Member

Name Role
Mark T Henderson Member

Organizer

Name Role
MARK HENDERSON Organizer

Registered Agent

Name Role
MARK HENDERSON Registered Agent

National Provider Identifier

NPI Number:
1811152713

Authorized Person:

Name:
DR. MARK T HENDERSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
5024269259

Assumed Names

Name Status Expiration Date
DYNAMIC MEDICAL & REHAB Inactive 2013-06-17

Filings

Name File Date
Administrative Dissolution 2010-11-02
Annual Report 2009-03-22
Certificate of Assumed Name 2008-06-17
Annual Report 2008-01-18
Annual Report 2007-01-29

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Sources: Kentucky Secretary of State