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SPIRIT SOARING MEDICAL PLLC

Company Details

Name: SPIRIT SOARING MEDICAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Nov 2019 (6 years ago)
Entity Number: 5659459
ZIP code: 14884
County: Allegany
Place of Formation: New York
Address: 2761 JOHNSON HILL ROAD, SWAIN, NY, United States, 14884

DOS Process Agent

Name Role Address
JACOB M TALLMAN DOS Process Agent 2761 JOHNSON HILL ROAD, SWAIN, NY, United States, 14884

National Provider Identifier

NPI Number:
1639703192
Certification Date:
2020-02-24

Authorized Person:

Name:
JACOB TALLMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
200413000072 2020-04-13 CERTIFICATE OF PUBLICATION 2020-04-13
191120000660 2019-11-20 ARTICLES OF ORGANIZATION 2019-11-20

Date of last update: 23 Mar 2025

Sources: New York Secretary of State