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DANIEL L. HUSKY, M.D., P.S.

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Company Details

Legal Name: DANIEL L. HUSKY, M.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 26th 2006
Date of Dissolution: September 4th 2012
Expiration date: 31 May 2012
UBI Number: 602 617 675
ZIP code: 99204
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 104 W 5TH AVE STE 390E, SPOKANE, WA, 99204, UNITED STATES

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Registered Agent Information

Name Role Address
DANIEL L HUSKY MD Registered Agent 104 W 5TH AVE #390E, SPOKANE, WA, 99204, UNITED STATES

Key Officers & Management

Name Role
DANIEL HUSKY MD Governing Person
RICCI HUSKY Governing Person

National Provider Identifier

NPI Number:
1154532406

Authorized Person:

Name:
DR. DANIEL L HUSKY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5097778790
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