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ADVANCED PAIN CARE P.S.

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Company Details

Legal Name: ADVANCED PAIN CARE P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 26th 2018
Expiration date: 28 Feb 2026
UBI Number: 604 230 931
ZIP code: 98036
City: Lynnwood
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1327 215TH PL SW, LYNNWOOD, WA, 98036-8681, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1327 215TH PL SW, LYNNWOOD, WA, 98036-8448, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $6,677

Contact Details

E-Mail: ERICASHIRAZI@GMAIL.COM
Phone Number: +1 206-422-7537

Nature of Business

Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
DAVID NAIBERT Registered Agent 12515 NE 116TH ST APT B23, KIRKLAND, WA, 98034-8448, UNITED STATES

Key Officers & Management

Name Role Address
DAVID NAIBERT Governing Person 12100 NORTHUP WAY, BELLEVUE, WA, 98005-1920, UNITED STATES
DAVID NAIBERT Incorporator 3046 61ST AVE SE, MERCER ISLAND, WA, 98040-2445, UNITED STATES

National Provider Identifier

NPI Number:
1114410495
Certification Date:
2024-01-01

Authorized Person:

Name:
DR. DAVID KEITH NAIBERT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP3300X - Pain Clinic/Center
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
Yes

Contacts:

Fax:
8663089873
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