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BELLEVUE PAIN AND WELLNESS PLLC

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Company Details

Legal Name: BELLEVUE PAIN AND WELLNESS PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 5th 2019
Expiration date: 30 Jun 2026
UBI Number: 604 460 492
ZIP code: 98007
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 14450 NE 29TH PL, STE 230, BELLEVUE, WA, 98007, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 14450 NE 29TH PL, STE 230, SEATTLE, WA, 98119, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $13,865

Contact Details

E-Mail: BELLEVUEPAINWELLNESS@GMAIL.COM
Phone Number: +1 330-280-4299

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ROBERT BOWERS Registered Agent 1233 9TH AVE W, SEATTLE, WA, 98119-3463, UNITED STATES

Key Officers & Management

Name Role
LEGALZOOM.COM, INC. Executor
ROBERT BOWERS Governing Person

National Provider Identifier

NPI Number:
1740822139
Certification Date:
2021-08-19

Authorized Person:

Name:
ROBERT BOWERS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
842094472
Plan Year:
2023
Number Of Participants:
8
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
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