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FIRCREST SPINE CENTER PLLC

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Company Details

Legal Name: FIRCREST SPINE CENTER PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 2nd 2016
Expiration date: 31 Mar 2026
UBI Number: 603 591 886
ZIP code: 98409
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4916 CENTER ST STE G, TACOMA, WA, 98409-2348, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $259

Contact Details

E-Mail: TRAVISV@ACCIDENTCHIROWA.COM
Phone Number: +1 206-504-3424

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
FIRCREST SPINE CENTER LLC Registered Agent 4916 CENTER ST STE G, TACOMA, WA, 98409-2348, UNITED STATES

Key Officers & Management

Name Role
TRAVIS VAUGHN Governing Person
CASEY WILTON Governing Person

National Provider Identifier

NPI Number:
1356738645

Authorized Person:

Name:
CODY F SANDZIMIER
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2539129660

History

Type Old value New value Date of change
Name change FIRCREST SPINE CENTER LLC FIRCREST SPINE CENTER PLLC 2019-08-12

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$39,587
Date Approved:
2020-05-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$39,587
Race:
Asian
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$40,091.73
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $39,587
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