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STONECREST FAMILY MEDICINE, PLLC

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Company Details

Name: STONECREST FAMILY MEDICINE, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 03 Mar 2006 (19 years ago)
Organization Date: 03 Mar 2006 (19 years ago)
Last Annual Report: 01 May 2024 (a year ago)
Managed By: Members
Organization Number: 0633664
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40065
City: Shelbyville
Primary County: Shelby County
Principal Office: 101 STONECREST ROAD, SUITE 3, SHELBYVILLE, KY 40065
Place of Formation: KENTUCKY

Member

Name Role
Ronald E Creque, Jr. Member
Paul A Goodlett Member

Organizer

Name Role
RONALD E. CREQUE,SR. Organizer
PAUL A. GOODLETT, MD Organizer

Registered Agent

Name Role
PAUL GOODLETT, MD Registered Agent

National Provider Identifier

NPI Number:
1659322808

Authorized Person:

Name:
RONALD E CREQUE JR.
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5026335154

Form 5500 Series

Employer Identification Number (EIN):
204386953
Plan Year:
2023
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
14
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2024-05-01
Annual Report 2023-04-17
Annual Report 2022-03-30
Annual Report 2021-05-20
Annual Report 2020-05-11

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Sources: Kentucky Secretary of State