| Name: | PROVIDER ENROLLMENT SOLUTIONS INC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC BUSINESS CORPORATION |
| Status: | Inactive |
| Date of registration: | 06 Jun 2017 (8 years ago) |
| Date of dissolution: | 21 Jun 2021 |
| Entity Number: | 5148859 |
| ZIP code: | 11214 |
| County: | Kings |
| Place of Formation: | New York |
| Address: | 2260 BENSON AVE APT 2E, BROOKLYN, NY, United States, 11214 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| PROVIDER ENROLLMENT SOLUTIONS INC | DOS Process Agent | 2260 BENSON AVE APT 2E, BROOKLYN, NY, United States, 11214 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2017-06-06 | 2021-06-21 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2017-06-06 | 2022-01-21 | Address | 2260 BENSON AVE APT 2E, BROOKLYN, NY, 11214, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 220121002834 | 2021-06-21 | CERTIFICATE OF DISSOLUTION-CANCELLATION | 2021-06-21 |
| 170606010002 | 2017-06-06 | CERTIFICATE OF INCORPORATION | 2017-06-06 |
Date of last update: 13 Jan 2025
Sources: New York Secretary of State
