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NEUROSURGICAL CONSULTANTS OF WASHINGTON, P.S.

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Company Details

Legal Name: NEUROSURGICAL CONSULTANTS OF WASHINGTON, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: November 14th 1997
Date of Dissolution: November 29th 2017
Expiration date: 30 Nov 2017
UBI Number: 601 832 263
ZIP code: 98133
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1560 N 115TH ST # 209, SEATTLE, WA, 98133, UNITED STATES

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Registered Agent Information

Name Role Address
MARGARET PEYTON Registered Agent 701 5TH AVE #700, SEATTLE, WA, 98104-0000, UNITED STATES

Key Officers & Management

Name Role
JAYASHREE SRINIVASAN MD Governing Person
STEVEN KLEIN MD Governing Person
DANIEL LAZAR MD Governing Person

National Provider Identifier

NPI Number:
1851514244

Authorized Person:

Name:
JACOB N YOUNG
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
4256881588
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