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BACK AND NECK PAIN CENTER OF LYNNWOOD PLLC

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Company Details

Legal Name: BACK AND NECK PAIN CENTER OF LYNNWOOD PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 31st 2011
Date of Dissolution: December 1st 2014
Expiration date: 31 Aug 2014
UBI Number: 603 140 514
ZIP code: 98037
City: Lynnwood
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 16825 48TH AVE W, LYNNWOOD, WA, 98037, UNITED STATES

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Registered Agent Information

Name Role Address
DERRIK WILLIAMS Registered Agent 16420 SE 264TH ST, COVINGTON, WA, 98042, UNITED STATES

Key Officers & Management

Name Role Address
RONNIE SIKKA Governing Person 3813 186TH ST SE, BOTHELL, WA, 98012-6833, UNITED STATES
DERRIK WILLIAMS Governing Person 16420 SE 264TH ST, COVINGTON, WA, 98042-8388, UNITED STATES

National Provider Identifier

NPI Number:
1902187024

Authorized Person:

Name:
DR. DERRIK WILLIAMS
Role:
OWNER/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
4257757975

Labor Condition Applications

Case Number:
I-200-11256-372878
Program:
H-1B
Job Title:
CHIROPRACTOR
SOC (ONET/OES) code:
29-1011
SOC (ONET/OES) occupation title:
Chiropractors
Begin Date:
2011-09-19
End Date:
2014-09-18

Employment and Wage Information

Address:
LYNNWOOD, WA
Wage Rate Paid to Nonimmigrant Workers:
$54,000
Per:
Year
Prevailing Wage Rate:
$45,157
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