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MARTIN MD PLLC

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Company Details

Legal Name: MARTIN MD PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 21st 2013
Date of Dissolution: October 3rd 2020
Expiration date: 31 May 2020
UBI Number: 603 268 391
ZIP code: 99336
City: Kennewick
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 35 S LOUISIANA ST, A120, KENNEWICK, WA, 99336-8629, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,021

Contact Details

E-Mail: TBENNETT.MARTINMD@GMAIL.COM
Phone Number: +1 509-491-1944

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
WALBURGA MARTIN Registered Agent 35 S LOUISIANA ST STE A120, KENNEWICK, WA, 99336-8630, UNITED STATES

Key Officers & Management

Name Role Address
WALBURGA MARTIN Governing Person 1309 SCENIC DRIVE, PROSSER, WA, 99350, UNITED STATES

National Provider Identifier

NPI Number:
1508201062

Authorized Person:

Name:
WALBURGA S MARTIN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

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