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NORTHSHORE HEALTH PLLC

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Company Details

Legal Name: NORTHSHORE HEALTH PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 5th 2024
Expiration date: 30 Sep 2025
UBI Number: 605 610 303
ZIP code: 98011
City: Bothell
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 12900 NE 180TH ST STE 100, BOTHELL, WA, 98011-5773, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 5792 SE FOREST HAVEN LN, PORT ORCHARD, WA, 98366-8621, UNITED STATES

Contact Details

E-Mail: ANANDAUSMAN@YAHOO.COM
Phone Number: +1 904-710-1705

Nature of Business

Health Care, Social Assistance & Service Organization, Professional, Scientific & Technical Services

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Registered Agent Information

Name Role
ENUAH LLC Registered Agent

Key Officers & Management

Name Role Address
MODIBO USMAN Executor 5792 SE FOREST HAVEN LN, PORT ORCHARD, WA, 98366-8621, UNITED STATES
ENUAH LLC Governing Person -

National Provider Identifier

NPI Number:
1508692369
Certification Date:
2024-09-10

Authorized Person:

Name:
ANANDA USMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

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