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MARC ALAN KIRSCHNER, M.D., P.S.

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Company Details

Legal Name: MARC ALAN KIRSCHNER, M.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 2nd 2004
Date of Dissolution: December 1st 2014
Expiration date: 31 Aug 2014
UBI Number: 602 417 406
ZIP code: 98133
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1570 N 115TH ST STE 14, SEATTLE, WA, 98133, UNITED STATES

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Registered Agent Information

Name Role Address
JUDD R MARTEN Registered Agent LESOURD & PATTEN PS, 600 UNIVERSITY ST STE 2401, SEATTLE, WA, 98101, UNITED STATES

Key Officers & Management

Name Role
MARC KIRSCHNER Governing Person

National Provider Identifier

NPI Number:
1154592194

Authorized Person:

Name:
DR. MARC ALAN KIRSCHNER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2063652980
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