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NICHOLAS F. CARULLI, M.D., P.C.

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Company Details

Legal Name: NICHOLAS F. CARULLI, M.D., P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Delinquent
Formation/ Registration Date: May 17th 2005
Expiration date: 31 May 2025
UBI Number: 602 511 389
ZIP code: 98607
City: Camas
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2115 SE 192ND AV, SUITE 110, CAMAS, WA, 98607, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $5,957

Contact Details

E-Mail: DANIELA.CARULLI@LIVE.COM
Phone Number: +1 360-210-7166

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
NICHOLAS F CARULLI, MD Registered Agent 2115 SE 192DR AVE__STE 110, CAMAS, WA, 98607-0000, UNITED STATES

Key Officers & Management

Name Role
DANIELA CARULLI Governing Person
NICHOLAS CARULLI, MD Governing Person

National Provider Identifier

NPI Number:
1801985254

Authorized Person:

Name:
DR. NICHOLAS F CARULLI
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
3609060871
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