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BARRY BOCKOW, M.D., P.S.
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Company Details
Legal Name:
BARRY BOCKOW, M.D., P.S.
Jurisdiction:
WASHINGTON
Entity Type:
WA PROFESSIONAL SERVICE CORPORATION
Category:
DOMESTIC ENTITY
Status:
Administratively Dissolved
Formation/ Registration Date:
October 26th 1981
Date of Dissolution:
March 3rd 2019
Expiration date:
31 Oct 2018
UBI Number:
600 419 694
ZIP code:
98166
City:
Seattle
County:
KING
Home State:
WASHINGTON
Principal Office Street Address:
16122 8TH AVE SW STE D3, BURIEN, WA, 98166-2967, UNITED STATES
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Registered Agent Information
Name
Role
Address
BARRY BOCKOW MD
Registered Agent
16122 8TH AVE SW, SEATTLE, WA, 98166-0000, UNITED STATES
Key Officers & Management
Name
Role
BARRY BOCKOW
Governing Person
National Provider Identifier
NPI Number:
1265750251
Link:
View on NPI website
Authorized Person:
Name:
DR. BARRY BOCKOW
Role:
PRESIDENT
Phone:
2062467880
Taxonomy:
Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
Yes
Contacts:
Phone:
+1 206-246-7880
Fax:
2062464272
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