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LIBERTY LAKE DIRECT PRIMARY CARE PLLC

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Company Details

Legal Name: LIBERTY LAKE DIRECT PRIMARY CARE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 15th 2023
Expiration date: 30 Apr 2026
UBI Number: 605 208 214
ZIP code: 99019
City: Liberty Lake
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2207 N MOLTER RD, LIBERTY LAKE, WA, 99019-7570, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 2207 N MOLTER RD STE 203, LIBERTY LAKE, WA, 99019-7571, UNITED STATES

Contact Details

E-Mail: DOCTOR@LIBERTYLAKEDPC.COM
Phone Number: +1 509-348-2214

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JARED NELSON Registered Agent 704 N MADSON CT, LIBERTY LAKE, WA, 99019-7507, UNITED STATES

Key Officers & Management

Name Role Address
JARED NELSON Executor 704 N MADSON CT, LIBERTY LAKE, WA, 99019-7507, UNITED STATES
JARED NELSON Governing Person 704 N MADSON CT, LIBERTY LAKE, WA, 99019-7507, UNITED STATES

National Provider Identifier

NPI Number:
1558048280
Certification Date:
2023-07-04

Authorized Person:

Name:
DR. JARED W. NELSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

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