ANESTHESIOLOGY, INC., P.S.

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Company Details

Legal Name:	ANESTHESIOLOGY, INC., P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	October 11th 1979
Date of Dissolution:	February 3rd 2014
Expiration date:	31 Oct 2013
UBI Number:	600 343 968

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Registered Agent Information

Name	Role	Address
DR DAVID N VANOS	Registered Agent	5633 N LIDGERWOOD ST, SPOKANE, WA, 99208-1224, UNITED STATES

Key Officers & Management

Name	Role	Address
JOHN HEUSNER	Governing Person	5633 NORTH LIDGERWOOD ST, SPOKANE, WA, 99208, UNITED STATES
JEFF WELCH	Governing Person	5633 N LIDGERWOOD ST, SPOKANE, WA, 99208, UNITED STATES
PHIL OGDEN	Governing Person	5633 N LIDGERWOOD ST, SPOKANE, WA, 99208, UNITED STATES
MICHELLE HANSEN	Governing Person	5633 NORTH LIDGERWOOD ST, SPOKANE, WA, 99208, UNITED STATES
SAXON GILBERT	Governing Person	5633 N LIDGERWOOD ST, SPOKANE, WA, 99208, UNITED STATES
WADE OTTE	Governing Person	5633 N LIDGERWOOD ST, SPOKANE, WA, 99208, UNITED STATES
DAVID VANOS	Governing Person	5633 N LIDGERWOOD ST, SPOKANE, WA, 99208, UNITED STATES

National Provider Identifier

NPI Number:

1508835182

Link:

View on NPI website

Authorized Person:

Name:

DR. KEVIN LEON LEWIS

Role:

DELEGATE

Phone:

5098388561

Taxonomy:

Selected Taxonomy:

207L00000X - Anesthesiology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-838-8561

Fax:

5098354058

Form 5500 Series

Employer Identification Number (EIN):

911084707

Plan Year:

2013

Number Of Participants:

8

Sponsor's telephone number:

5094822359

File:

Plan Administrator / Signatory:

PHILIP OGDEN, MD(Plan administrator)

Plan Year:

2012

Number Of Participants:

8

Sponsor's telephone number:

5094822359

File:

Plan Administrator / Signatory:

PHILIP OGDEN, MD(Plan administrator)

Plan Year:

2011

Number Of Participants:

8

Sponsor's telephone number:

5094822359

File:

Plan Administrator / Signatory:

MICHELLE HANSEN, MD(Plan administrator)

Plan Year:

2010

Number Of Participants:

7

Sponsor's telephone number:

5094822359

File:

Plan Administrator / Signatory:

MICHELLE HANSEN, MD(Plan administrator)

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