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EIDE NEUROLEARNING CLINIC, INC. P.S.

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Company Details

Legal Name: EIDE NEUROLEARNING CLINIC, INC. P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: August 19th 2002
Date of Dissolution: January 31st 2019
Expiration date: 31 Aug 2019
UBI Number: 602 227 812
ZIP code: 98026
City: Edmonds
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 6701 139TH PL SW, EDMONDS, WA, 98026-3223, UNITED STATES

Contact Details

E-Mail: DRSEIDE@GMAIL.COM

Nature of Business

Professional, Scientific & Technical Services, EDUCATIONAL CONSULTING.

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Registered Agent Information

Name Role
FERNETTE EIDE Registered Agent

Key Officers & Management

Name Role
BROCK EIDE Governing Person
FERNETTE EIDE Governing Person

National Provider Identifier

NPI Number:
1184745796

Authorized Person:

Name:
FERNETTE FANG EIDE
Role:
CO-PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
No

Contacts:

Fax:
4256090050
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