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HARTSHORN SURGICAL PLLC

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Company Details

Legal Name: HARTSHORN SURGICAL PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: November 13th 2019
Date of Dissolution: November 23rd 2020
Expiration date: 30 Nov 2020
UBI Number: 604 524 039
ZIP code: 99019
City: Liberty Lake
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 419 S ALPINE DR, LIBERTY LAKE, WA, 99019-9729, UNITED STATES

Contact Details

E-Mail: HARTSHORNSURGICAL@GMAIL.COM

Nature of Business

Other Services, SURGICAL SERVICES

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Registered Agent Information

Name Role Address
JAMES BLACK Registered Agent 717 W SPRAGUE AVE STE 1600, SPOKANE, WA, 99201-3923, UNITED STATES

Key Officers & Management

Name Role Address
JAMES S BLACK Executor 717 W SPRAGUE AVE STE 1600, SPOKANE, WA, 99201-3923, UNITED STATES
HEATHER HARTSHORN Governing Person -

National Provider Identifier

NPI Number:
1477186740
Certification Date:
2020-02-14

Authorized Person:

Name:
DR. HEATHER HARTSHORN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
282N00000X - General Acute Care Hospital
Is Primary:
Yes

Contacts:

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