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EASTSIDE IDEAL HEALTH ISSAQUAH, PLLC

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Company Details

Legal Name: EASTSIDE IDEAL HEALTH ISSAQUAH, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 11th 2018
Expiration date: 31 Oct 2025
UBI Number: 604 339 774
ZIP code: 98027
City: Issaquah
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1495 NW GILMAN BLVD, SUITE 12, ISSAQUAH, WA, 98027-5328, UNITED STATES

Contact Details

E-Mail: BENGREENWADEDC@GMAIL.COM
Phone Number: +1 360-878-0144

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MARGARET ROBERTSON Registered Agent 1495 NW GILMAN BLVD, SUITE 12, ISSAQUAH, WA, 98027-5328, UNITED STATES

Key Officers & Management

Name Role Address
MARGARET ROBERTSON Executor 2513 152ND AVE NE, REDMOND, WA, 98052-5574, UNITED STATES
BENJAMIN BREENWADE Executor 2513 152ND AVE NE, REDMOND, WA, 98052-5574, UNITED STATES
MARGARET ROBERTSON Governing Person -
BENJAMIN GREENWADE Governing Person -

National Provider Identifier

NPI Number:
1811453921
Certification Date:
2021-12-21

Authorized Person:

Name:
DR. JOEL SOUTHWELL
Role:
OWNER/CHIROPRACTIC PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
4253921039

History

Type Old value New value Date of change
Name change EASTSIDE IDEAL HEALTH ISSAQUAH, LLC EASTSIDE IDEAL HEALTH ISSAQUAH, PLLC 2018-10-18

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$6,400
Date Approved:
2020-05-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$6,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$6,475.57
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $6,400
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