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CONNECT PRIMARY CARE LLC

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Company Details

Legal Name: CONNECT PRIMARY CARE LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 30th 2022
Expiration date: 31 Jul 2025
UBI Number: 604 954 819
ZIP code: 98037
City: Lynnwood
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3500 188TH ST SW STE 250, LYNNWOOD, WA, 98037-4757, UNITED STATES

Contact Details

E-Mail: ERIN@CONNECTPCP.COM
Phone Number: +1 425-657-3362

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ERIN CHANEY Registered Agent 3500 188TH ST SW STE 250, LYNNWOOD, WA, 98037-4757, UNITED STATES

Key Officers & Management

Name Role Address
ERIN CHANEY Executor 2712 NEWBERG RD, SNOHOMISH, WA, 98290-7726, UNITED STATES
ERIN CHANEY Governing Person 3500 188TH ST SW STE 250, LYNNWOOD, WA, 98037-4757, UNITED STATES

National Provider Identifier

NPI Number:
1134996721
Certification Date:
2023-12-05

Authorized Person:

Name:
DR. ERIN MAUREEN CHANEY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4256161530
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