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CLOVER CREEK CHIROPRACTIC. INC, PC

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Company Details

Legal Name: CLOVER CREEK CHIROPRACTIC. INC, PC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 22nd 2019
Expiration date: 31 Jan 2026
UBI Number: 604 393 705
ZIP code: 98499
City: Lakewood
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 6141 93RD ST SW, LAKEWOOD, WA, 98499-2401, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $785

Contact Details

E-Mail: ERIK.M.WELLS@GMAIL.COM
Phone Number: +1 253-232-9786

Nature of Business

Health Care, Social Assistance & Service Organization, Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
CARA WELLS Registered Agent 6141 93RD ST SW, LAKEWOOD, WA, 98499-2401, UNITED STATES

Key Officers & Management

Name Role Address
ERIK WELLS Governing Person -
RANDY MAY Incorporator 32015 1ST AVE S, FEDERAL WAY, WA, 98003-5701, UNITED STATES

National Provider Identifier

NPI Number:
1629631684

Authorized Person:

Name:
ERIK M WELLS
Role:
CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
111NX0100X - Occupational Health Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2535885115

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$7,323
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$7,323
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$7,422.11
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $7,323
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