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LIBERTY ORTHOPEDICS, PS

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Company Details

Legal Name: LIBERTY ORTHOPEDICS, PS
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 4th 2020
Expiration date: 30 Nov 2025
UBI Number: 604 667 548
ZIP code: 98370
City: Poulsbo
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 20696 BOND RD NE, STE 205, POULSBO, WA, 98370-9025, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 24753 PIONEER WAY NW, POULSBO, WA, 98370-9579, UNITED STATES

Contact Details

E-Mail: MAIL@REITINGERINC.COM
Phone Number: +1 541-482-2821

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JAN WEST Registered Agent 24753 PIONEER WAY NW, POULSBO, WA, 98370-9579, UNITED STATES

Key Officers & Management

Name Role Address
JOHN WEST, SR Governing Person -
JOHN WEST Incorporator 24753 PIONEER WAY NW, POULSBO, WA, 98370-9579, UNITED STATES

National Provider Identifier

NPI Number:
1639771348
Certification Date:
2020-12-27

Authorized Person:

Name:
JOHN REID WEST
Role:
PRESIDENT/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary:
Yes

Contacts:

Fax:
3602101429
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