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BRECK URGENT CARE LLC

Company Details

Name: BRECK URGENT CARE LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 08 Feb 2016 (9 years ago)
Organization Date: 08 Feb 2016 (9 years ago)
Managed By: Members
Organization Number: 0943636
ZIP code: 40143
City: Hardinsburg, Mooleyville, Sample
Primary County: Breckinridge County
Principal Office: 681 E Highway 60, Hardinsburg, KY 40143
Place of Formation: KENTUCKY

Organizer

Name Role
Jonathan Van Lahr Organizer
Jonathan Gabriel Van Lahr Organizer

Registered Agent

Name Role
Jonathan Van Lahr Registered Agent

National Provider Identifier

NPI Number:
1689120529

Authorized Person:

Name:
SURYA PATEL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2705477163

Filings

Name File Date
Dissolution 2017-03-03
Articles of Correction 2016-03-02

Sources: Kentucky Secretary of State