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E-TOWN NEUROSURGERY LLC

Company Details

Name: E-TOWN NEUROSURGERY LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 11 Apr 2007 (18 years ago)
Organization Date: 11 Apr 2007 (18 years ago)
Last Annual Report: 23 Oct 2008 (17 years ago)
Managed By: Managers
Organization Number: 0661937
ZIP code: 42701
City: Elizabethtown, E Town
Primary County: Hardin County
Principal Office: 105 FLAGSTONE COURT, ELIZABETHTOWN, KY 42701
Place of Formation: KENTUCKY

Registered Agent

Name Role
THAD R. JACKSON Registered Agent

Organizer

Name Role
CHRIS MERSHON Organizer

Manager

Name Role
Thad Jackson Manager

National Provider Identifier

NPI Number:
1093929184

Authorized Person:

Name:
THAD R. JACKSON
Role:
PHYSICIAN AND OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
Yes
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No

Contacts:

Fax:
2707653919

Filings

Name File Date
Administrative Dissolution 2009-11-03
Annual Report 2008-10-23
Articles of Organization 2007-04-11

Sources: Kentucky Secretary of State