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SHELBY STREET CHIROPRACTIC & INJURY REHAB, PSC

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Company Details

Name: SHELBY STREET CHIROPRACTIC & INJURY REHAB, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 03 Dec 2010 (15 years ago)
Organization Date: 03 Dec 2010 (15 years ago)
Last Annual Report: 30 Jun 2011 (14 years ago)
Organization Number: 0776639
ZIP code: 40204
City: Louisville
Primary County: Jefferson County
Principal Office: 802 EAST BROADWAY, LOUISVILLE, KY 40204
Place of Formation: KENTUCKY
Authorized Shares: 1000

Incorporator

Name Role
MICHAEL CLOVER Incorporator

Organizer

Name Role
MICHAEL CLOVER Organizer

Registered Agent

Name Role
MICHAEL CLOVER Registered Agent

President

Name Role
MICHAEL CLOVER President

Shareholder

Name Role
MICHAEL CLOVER Shareholder

National Provider Identifier

NPI Number:
1073817987

Authorized Person:

Name:
MICHAEL CLOVER
Role:
CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
5025835770

Filings

Name File Date
Administrative Dissolution 2012-09-11
Annual Report 2011-06-30

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Sources: Kentucky Secretary of State