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SHANNON JAMES NURSE PRACTITIONER IN PSYCHIATRY P.C.

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Company Details

Name: SHANNON JAMES NURSE PRACTITIONER IN PSYCHIATRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 May 2021 (4 years ago)
Entity Number: 6017753
ZIP code: 12801
County: Warren
Place of Formation: New York
Address: 7 Stevens Street, Glens Falls, NY, United States, 12801

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 7 Stevens Street, Glens Falls, NY, United States, 12801

Chief Executive Officer

Name Role Address
SHANNON JAMES Chief Executive Officer 7 STEVENS STREET, GLENS FALLS, NY, United States, 12801

National Provider Identifier

NPI Number:
1417697376
Certification Date:
2022-05-31

Authorized Person:

Name:
SHANNON JAMES
Role:
OWNER/DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2021-05-20 2024-09-16 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-05-20 2024-09-16 Address 593 GOGGINS ROAD, LAKE GEORGE, NY, 12845, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240916003548 2024-09-16 BIENNIAL STATEMENT 2024-09-16
210520000345 2021-05-20 CERTIFICATE OF INCORPORATION 2021-05-20

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State