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TRI-STATE ANESTHESIA GROUP, PSC

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Company Details

Name: TRI-STATE ANESTHESIA GROUP, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 26 Nov 2014 (11 years ago)
Organization Date: 26 Nov 2014 (11 years ago)
Organization Number: 0903592
Principal Office: PO BOX 390, HUNTINGTON, WV 25708
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
GEOFFREY GRIFFITH Registered Agent

Incorporator

Name Role
STACEY SHY Incorporator

National Provider Identifier

NPI Number:
1487051538

Authorized Person:

Name:
STACEY C SHY
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
3044293109

Filings

Name File Date
Administrative Dissolution 2015-09-12
Articles of Incorporation (Professional) 2014-11-26

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Sources: Kentucky Secretary of State