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COASTLINE SPINE AND PAIN CENTER, LLC

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Company Details

Legal Name: COASTLINE SPINE AND PAIN CENTER, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 18th 2023
Expiration date: 31 Mar 2026
UBI Number: 605 146 743
ZIP code: 98108
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4626 MARTIN LUTHER KING JR WAY S, SEATTLE, WA, 98108-2135, UNITED STATES

Contact Details

E-Mail: JOSEPHDINH21@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
BAO DINH Registered Agent 4626 MARTIN LUTHER KING JR WAY S, SEATTLE, WA, 98108-2135, UNITED STATES

Key Officers & Management

Name Role Address
BAO DINH Executor 4626 MARTIN LUTHER KING JR WAY S, SEATTLE, WA, 98108-2135, UNITED STATES
BAO DINH Governing Person -

National Provider Identifier

NPI Number:
1114792439
Certification Date:
2023-11-16

Authorized Person:

Name:
BAO N DINH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9792560818
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