CORNERSTONE CHIROPRACTIC PLLC

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Company Details

Legal Name:	CORNERSTONE CHIROPRACTIC PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	May 3rd 2022
Date of Dissolution:	June 25th 2025
Expiration date:	31 May 2025
UBI Number:	604 911 143
ZIP code:	98026
City:	Edmonds
County:	SNOHOMISH
Home State:	WASHINGTON
Principal Office Street Address:	22727 HWY 99, STE 205, EDMONDS, WA, 98026, UNITED STATES
Principal Office Mailing Address:	22727 HIGHWAY 99, STE 205, EDMONDS, WA, 98026-8381, UNITED STATES

Contact Details

E-Mail:	STACEY@CORECHIROS.COM
Phone Number:	+1 425-471-4083

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
STACEY LEFEVRE	Registered Agent	22727 HIGHWAY 99 STE 205, EDMONDS, WA, 98026-8381, UNITED STATES

Key Officers & Management

Name	Role	Address
JASON OH	Executor	18904 HIGHWAY 99 STE F, LYNNWOOD, WA, 98036-5219, UNITED STATES
STACEY LEFEVRE	Governing Person	8811 SOUTH TACOMA WAY STE 104, LAKEWOOD, WA, 98499-4595, UNITED STATES
LEONARD HO	Governing Person	-

National Provider Identifier

NPI Number:

1598473472

Certification Date:

2022-11-09

Link:

View on NPI website

Authorized Person:

Name:

DR. JASON OH

Role:

OWNER/CHIROPRACTOR

Phone:

4255455644

Taxonomy:

Selected Taxonomy:

261Q00000X - Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 425-471-4083

Fax:

4255776509

Form 5500 Series

Employer Identification Number (EIN):

371512185

Plan Year:

2023

Number Of Participants:

2

Plan Name:

401(K)

Sponsor's telephone number:

7208408018

File:

Plan Administrator / Signatory:

CAMERON LICHFIELD(Plan administrator)

Plan Year:

2022

Number Of Participants:

2

Plan Name:

401(K)

Sponsor's telephone number:

7208408018

File:

Plan Administrator / Signatory:

CAMERON LICHFIELD(Plan administrator)

Plan Year:

2021

Number Of Participants:

4

Plan Name:

401(K)

Sponsor's telephone number:

7208408018

Plan Administrator / Signatory:

CAMERON LICHFIELD(Plan administrator)

Plan Year:

2020

Number Of Participants:

4

Plan Name:

401(K)

Sponsor's telephone number:

7208408018

File:

Plan Administrator / Signatory:

CAMERON LICHFIELD(Plan administrator)

Plan Year:

2019

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

7208408018

File:

Plan Administrator / Signatory:

CAMERON LICHFIELD(Plan administrator)

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