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MICHAEL W. FISK, D.C., P.S.

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Company Details

Legal Name: MICHAEL W. FISK, D.C., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: February 7th 1994
Date of Dissolution: April 25th 2013
Expiration date: 28 Feb 2014
UBI Number: 601 522 447

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Registered Agent Information

Name Role Address
MICHAEL W FISK DC Registered Agent 1124 S PINES, SPOKANE, WA, 99206, UNITED STATES

Key Officers & Management

Name Role Address
MICHAEL FISK Governing Person 1124 S PINES RD, SPOKANE VALLEY, WA, 99206, UNITED STATES
NANCY FISK Governing Person 1124 S PINES RD, SPOKANE VALLEY, WA, 99206, UNITED STATES

National Provider Identifier

NPI Number:
1801035910

Authorized Person:

Name:
MICHAEL W FISK
Role:
CHIROPRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5099226648
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