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Ashland Integrated Medicine, PSC

Company Details

Name: Ashland 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 May 2017 (8 years ago)
Organization Number: 0886863
Principal Office: 155 W. Central Ave, Ashland, KY 44101
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:
1558761734

Authorized Person:

Name:
MR. DANIEL LEE VANHOOSE
Role:
APRN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
6063260114

Filings

Name File Date
Administrative Dissolution 2018-10-16
Annual Report 2017-05-18
Annual Report 2016-06-14
Annual Report Amendment 2015-06-05
Annual Report 2015-04-30

Sources: Kentucky Secretary of State