CHERYL A. HAYES, D.O., P.S.

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Company Details

Legal Name:	CHERYL A. HAYES, D.O., P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	December 18th 1997
Date of Dissolution:	May 1st 2017
Expiration date:	31 Dec 2016
UBI Number:	601 839 366

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Registered Agent Information

Name	Role	Address
CHERYL A HAYES	Registered Agent	425 SW 41ST, RENTON, WA, 98057-0000, UNITED STATES

Key Officers & Management

Name	Role	Address
CHERYL HAYES	Governing Person	425 SW41ST, RENTON, WA, 98057, UNITED STATES

National Provider Identifier

NPI Number:

1992062731

Link:

View on NPI website

Authorized Person:

Name:

DR. CHERYL A. HAYES

Role:

MEDICAL DIRECTOR

Phone:

4252261190

Taxonomy:

Selected Taxonomy:

332900000X - Non-Pharmacy Dispensing Site

Is Primary:

Yes

Contacts:

Phone:

+1 310-474-9809

Phone:

+1 425-226-1190

Form 5500 Series

Employer Identification Number (EIN):

911880262

Plan Year:

2017

Number Of Participants:

2

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

4252261190

File:

Plan Year:

2016

Number Of Participants:

8

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

4252261190

File:

Plan Administrator / Signatory:

CHERYL A. HAYES(Plan administrator)

Plan Year:

2015

Number Of Participants:

9

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

4252261190

File:

Plan Administrator / Signatory:

CHERYL HAYES(Plan administrator)

Plan Year:

2014

Number Of Participants:

8

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

4252261190

File:

Plan Administrator / Signatory:

CHERYL HAYES(Plan administrator)

Plan Year:

2013

Number Of Participants:

7

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

4252261190

File:

Plan Administrator / Signatory:

CHERYL HAYES DO(Plan administrator)

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