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Hamburg Integrated Medicine, PSC

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Company Details

Name: Hamburg Integrated Medicine, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 09 May 2014 (11 years ago)
Organization Date: 09 May 2014 (11 years ago)
Last Annual Report: 18 Mar 2015 (10 years ago)
Organization Number: 0886859
ZIP code: 40509
City: Lexington
Primary County: Fayette County
Principal Office: 1890 Starshoot Parkway, Suite 190, Lexington, KY 40509
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
JEREMIAH HOLMES Registered Agent

CEO

Name Role
Jeremiah James Holmes CEO

Incorporator

Name Role
Timothy Wheeler Incorporator

Organizer

Name Role
Timothy Wheeler Organizer

Shareholder

Name Role
Daniel VanHoose Shareholder

National Provider Identifier

NPI Number:
1275933129

Authorized Person:

Name:
DANIEL VANHOOSE
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Administrative Dissolution 2016-10-01
Annual Report Amendment 2015-06-05
Annual Report 2015-03-18
Registered Agent name/address change 2014-09-11

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Sources: Kentucky Secretary of State