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MHG PHYSICIAN SERVICES - WASHINGTON, PLLC

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Company Details

Legal Name: MHG PHYSICIAN SERVICES - WASHINGTON, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 27th 2022
Expiration date: 31 May 2026
UBI Number: 604 926 134
Home State: MASSACHUSETTS
Principal Office Street Address: Google Maps Logo 500 HARRISON AVE, BOSTON, MA, 02118-2439, UNITED STATES

Contact Details

E-Mail: CALLMAN@MEDICALLYHOME.COM

Nature of Business

Any Lawful Purpose

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role Address
ERIN THOMPSON Executor 5111 JB HUNT DR STE 300, ROGERS, AR, 72758-5210, UNITED STATES
ELIZA SHULMAN Governing Person -

National Provider Identifier

NPI Number:
1356070023
Certification Date:
2023-05-05

Authorized Person:

Name:
DR. ROBERT ROTHSTEIN
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

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