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BUCHANAN CHIROPRACTIC, PLLC

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Company Details

Legal Name: BUCHANAN CHIROPRACTIC, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: April 18th 2003
Date of Dissolution: February 9th 2023
Expiration date: 30 Apr 2022
UBI Number: 602 290 935
ZIP code: 98042
City: Kent
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 27121 174TH PL SE, #105, COVINGTON, WA, 98042-4939, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $716

Contact Details

E-Mail: DJPOTHOVEN@AOL.COM
Phone Number: +1 253-639-8540

Nature of Business

CHIROPRACTIC CLINIC & SERVICES

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Registered Agent Information

Name Role Address
DENNIS POTHOVEN Registered Agent 505 5TH AVE S, SUITE 210, EDMONDS, WA, 98020-3636, UNITED STATES

Key Officers & Management

Name Role Address
GLENN BUCHANAN Governing Person 27121 174TH PL SE #105, COVINGTON, WA, 98047, UNITED STATES

National Provider Identifier

NPI Number:
1669599718

Authorized Person:

Name:
DR. GLENN A BUCHANAN
Role:
CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
174400000X - Specialist
Is Primary:
No

Contacts:

Fax:
2536398542
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