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BELLEVUE INTERNAL MEDICINE ASSOCIATES, PLLC

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Company Details

Legal Name: BELLEVUE INTERNAL MEDICINE ASSOCIATES, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: November 16th 1998
Date of Dissolution: March 1st 2013
Expiration date: 30 Nov 2012
UBI Number: 601 913 899

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Registered Agent Information

Name Role Address
HENRY WILLIAMS MD Registered Agent 1750 NE 112TH AVE #A101, BELLEVUE, WA, 98004, UNITED STATES

Key Officers & Management

Name Role
HENRY WILLIAMS Governing Person
RICHARD KONER Governing Person

National Provider Identifier

NPI Number:
1235206558

Authorized Person:

Name:
HENRY JOSEPH WILLIAMS
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
4256372011

Form 5500 Series

Employer Identification Number (EIN):
911937602
Plan Year:
2009
Number Of Participants:
8
Sponsor's telephone number:
Plan Administrator / Signatory:
HENRY J. WILLIAMS(Plan administrator)
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