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CHAMBERLAIN CLINIC, PLLC

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Company Details

Name: CHAMBERLAIN CLINIC, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 09 May 2011 (14 years ago)
Organization Date: 09 May 2011 (14 years ago)
Last Annual Report: 27 May 2020 (5 years ago)
Managed By: Members
Organization Number: 0791206
ZIP code: 40391
City: Winchester, Ford
Primary County: Clark County
Principal Office: 2570 BY-PASS ROAD, WINCHESTER, KY 40391
Place of Formation: KENTUCKY

Registered Agent

Name Role
MICHAEL C. SLONE Registered Agent

Member

Name Role
Richard A. Chamberlain Member

Organizer

Name Role
RICHARD A. CHAMBERLAIN Organizer

National Provider Identifier

NPI Number:
1447377031

Authorized Person:

Name:
RICHARD A CHAMBERLAIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
8597440137

Form 5500 Series

Employer Identification Number (EIN):
453576417
Plan Year:
2016
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
7
Sponsors Telephone Number:

Former Company Names

Name Action
RICHARD A. CHAMBERLAIN, M.D., PLLC Old Name

Assumed Names

Name Status Expiration Date
CHAMBERLAIN CLINIC Inactive 2021-05-09

Filings

Name File Date
Administrative Dissolution 2021-10-19
Annual Report 2020-05-27
Annual Report 2019-04-25
Annual Report 2018-04-18
Annual Report 2017-03-10

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Sources: Kentucky Secretary of State