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HOUSE CALL DOCTORS OF PACIFIC NORTHWEST LLC

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Company Details

Legal Name: HOUSE CALL DOCTORS OF PACIFIC NORTHWEST LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: July 22nd 2020
Date of Dissolution: October 17th 2024
Expiration date: 31 Jul 2025
UBI Number: 604 642 406
ZIP code: 98203
City: Everett
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 7024 EVERGREEN WAY, SUITE A, EVERETT, WA, 98203, UNITED STATES

Contact Details

E-Mail: BERNADETTE.KIMEMIA@HOUSECALLDOCTORSPNW.COM
Phone Number: +1 360-863-6696

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
BERNADETTE KIMEMIA Registered Agent 7024 EVERGREEN WAY STE A, EVERETT, WA, 98203-5175, UNITED STATES

Key Officers & Management

Name Role Address
DR. BERNADETTE KIMEMIA Executor 6210 147TH PL SE, EVERETT, WA, 98208-9387, UNITED STATES
BERNADETTE KIMEMIA Governing Person -

National Provider Identifier

NPI Number:
1639788979
Certification Date:
2022-04-01

Authorized Person:

Name:
BERNADETTE KIMEMIA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
3602433185

Form 5500 Series

Employer Identification Number (EIN):
852058966
Plan Year:
2023
Number Of Participants:
11
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHRIS HORNE(Plan administrator)
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