EAR, NOSE, THROAT AND PLASTIC SURGERY ASSOCIATES OF THE SOUTH SOUND, P.S.

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Company Details

Legal Name:	EAR, NOSE, THROAT AND PLASTIC SURGERY ASSOCIATES OF THE SOUTH SOUND, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	April 29th 2009
Date of Dissolution:	September 3rd 2018
Expiration date:	30 Apr 2018
UBI Number:	602 920 173
ZIP code:	98002
City:	Auburn
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	310 6TH ST NE, AUBURN, WA, 98002, UNITED STATES

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Registered Agent Information

Name	Role	Address
FRED W SCHWARTZ	Registered Agent	25233 SE 389TH ST, ENUMCLAW, WA, 98022-8830, UNITED STATES

Key Officers & Management

Name	Role	Address
NANCY JUHLIN, MD	Governing Person	25233 SE 289TH ST, ENUMCLAW, WA, 98022, UNITED STATES
CHRISTINE PUIG, MD	Governing Person	310 6TH ST NE, AUBURN, WA, 98002, UNITED STATES

National Provider Identifier

NPI Number:

1700010642

Link:

View on NPI website

Authorized Person:

Name:

DR. CHRISTINE MARIE PUIG

Role:

PRESIDENT

Phone:

2538336241

Taxonomy:

Selected Taxonomy:

207YS0123X - Facial Plastic Surgery Physician

Is Primary:

Yes

Contacts:

Phone:

+1 253-833-6241

Fax:

2538334113

Form 5500 Series

Employer Identification Number (EIN):

264809842

Plan Year:

2013

Number Of Participants:

0

Plan Name:

401(K)

Sponsor's telephone number:

2538336241

File:

Plan Administrator / Signatory:

CHRISTINE PUIG(Plan administrator)

Plan Year:

2013

Number Of Participants:

24

Plan Name:

401(K)

Sponsor's telephone number:

2538336241

File:

Plan Administrator / Signatory:

CHRISTINE PUIG(Plan administrator)

Plan Year:

2012

Number Of Participants:

33

Plan Name:

401(K)

Sponsor's telephone number:

2538336241

File:

Plan Administrator / Signatory:

CHRISTINE PUIG(Plan administrator)

Plan Year:

2011

Number Of Participants:

35

Plan Name:

401(K)

Sponsor's telephone number:

2538336241

File:

Plan Administrator / Signatory:

CHRISTINE PUIG(Plan administrator)

Plan Year:

2010

Number Of Participants:

35

Plan Name:

401(K)

Sponsor's telephone number:

2538336241

File:

Plan Administrator / Signatory:

CHRISTINE PUIG(Plan administrator) CHRISTINE PUIG(Employer/plan sponsor)

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