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DR. CHARLES BENSENHAVER III LLC

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Company Details

Name: DR. CHARLES BENSENHAVER III LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 01 Dec 2022 (3 years ago)
Organization Date: 01 Dec 2022 (3 years ago)
Managed By: Members
Organization Number: 1244860
ZIP code: 40218
City: Louisville, Buechel, Watterson Park, Watterson Pk
Primary County: Jefferson County
Principal Office: 3430 Newburg Rd. Suite 210, Louisville , KY 40218
Place of Formation: KENTUCKY

Registered Agent

Name Role
Charles Bensenhaver Registered Agent

Organizer

Name Role
Charles Bensenhaver Organizer

National Provider Identifier

NPI Number:
1962108118
Certification Date:
2023-01-31

Authorized Person:

Name:
STEVEN C MITCHELL
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2084B0002X - Obesity Medicine (Psychiatry & Neurology) Physician
Is Primary:
Yes

Contacts:

Fax:
5027360140

Filings

Name File Date
Administrative Dissolution 2023-10-04
Articles of Organization 2022-12-01

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Sources: Kentucky Secretary of State