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INTERVENTIONAL PAIN GROUP OF BELLEVUE PLLC

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Company Details

Legal Name: INTERVENTIONAL PAIN GROUP OF BELLEVUE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 6th 2020
Expiration date: 28 Feb 2026
UBI Number: 604 580 513
ZIP code: 98258
City: Lake Stevens
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 502 RHODORA HEIGHTS RD, LAKE STEVENS, WA, 98258-9721, UNITED STATES

Contact Details

E-Mail: DOCTORMIGGINS@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
INTERVENTIONAL PAIN GROUP OF BELLEVUE PLLC Registered Agent

Key Officers & Management

Name Role Address
LARRY MIGGINS Executor 304 S WATER ST STE 103, ELLENSBURG, WA, 98926-3617, UNITED STATES
LARRY MIGGINS Governing Person 304 S WATER ST, 103, ELLENSBURG, WA, 98926-3617, UNITED STATES

National Provider Identifier

NPI Number:
1386277267
Certification Date:
2020-02-19

Authorized Person:

Name:
LARRY MIGGINS
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4259841531

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$14,458
Date Approved:
2021-05-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$14,458
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$14,489.69
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $14,455
Utilities: $1
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