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ALPINE SPORT AND SPINE, PLLC

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Company Details

Legal Name: ALPINE SPORT AND SPINE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 7th 2019
Expiration date: 31 May 2026
UBI Number: 604 451 630
ZIP code: 98321
City: Buckley
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 766 MAIN STREET, BUCKLEY, WA, 98321, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 2313, BUCKLEY, WA, 98321-2313, UNITED STATES

Contact Details

E-Mail: BEALLM3@GMAIL.COM
Phone Number: +1 253-740-0479

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MICHAEL BEALL Registered Agent 214 PARK AVE, BUCKLEY, WA, 98321, UNITED STATES

Key Officers & Management

Name Role Address
MICHAEL BEALL Executor 17602 109TH STREET CT E, BONNEY LAKE, WA, 98391-5123, UNITED STATES
MICHAEL BEALL Governing Person -

National Provider Identifier

NPI Number:
1184243891
Certification Date:
2020-04-23

Authorized Person:

Name:
DR. MICHAEL LEIGH BEALL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

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