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THE GREAT PHYSICIAN HEALTH SERVICES, PLLC

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Company Details

Name: THE GREAT PHYSICIAN HEALTH SERVICES, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 26 Mar 2009 (16 years ago)
Organization Date: 26 Mar 2009 (16 years ago)
Last Annual Report: 29 Mar 2012 (13 years ago)
Managed By: Members
Organization Number: 0726531
ZIP code: 42276
City: Russellville, Oakville
Primary County: Logan County
Principal Office: 975 HOPKINSVILLE ROAD, RUSSELLVILLE, KY 42276
Place of Formation: KENTUCKY

Registered Agent

Name Role
JOSEPH C. BENTON, ESQUIRE Registered Agent

Member

Name Role
Michael Brian Humble Member

Organizer

Name Role
BRIAN HUMBLE, M.D. Organizer

National Provider Identifier

NPI Number:
1013145705

Authorized Person:

Name:
MICHAEL BRIAN HUMBLE
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2707269570

Filings

Name File Date
Dissolution 2013-02-20
Annual Report 2012-03-29
Annual Report 2011-06-10
Annual Report 2010-03-05
Articles of Organization (LLC) 2009-03-26

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Sources: Kentucky Secretary of State