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12th Street Chiropractic & Injury Rehabilitation, PSC

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Company Details

Name: 12th Street Chiropractic & Injury Rehabilitation, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 30 Apr 2010 (15 years ago)
Organization Date: 30 Apr 2010 (15 years ago)
Last Annual Report: 12 Sep 2013 (12 years ago)
Organization Number: 0762098
ZIP code: 40203
City: Louisville
Primary County: Jefferson County
Principal Office: 1211 W. Broadway, Louisville, KY 40203
Place of Formation: KENTUCKY
Authorized Shares: 1000

Sole Officer

Name Role
Michael Clover Sole Officer

Director

Name Role
Michael Clover Director

Shareholder

Name Role
Michael Clover Shareholder

Registered Agent

Name Role
Michael Clover Registered Agent

Incorporator

Name Role
Michael Clover Incorporator

Organizer

Name Role
Michael Clover Organizer

National Provider Identifier

NPI Number:
1710294541

Authorized Person:

Name:
MICHAEL CLOVER
Role:
CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
5025877355

Filings

Name File Date
Administrative Dissolution 2014-09-30
Annual Report 2013-09-12
Annual Report 2012-07-18
Annual Report 2011-06-30

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Sources: Kentucky Secretary of State