NORTHWEST NEUROLOGY, PLLC

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Company Details

Legal Name:	NORTHWEST NEUROLOGY, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	FOREIGN PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	FOREIGN ENTITY
Status:	Terminated
Formation/ Registration Date:	September 21st 2012
Date of Dissolution:	January 4th 2016
Expiration date:	30 Sep 2015
UBI Number:	602 137 589

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Registered Agent Information

Name	Role	Address
EDWARD H TURNER	Registered Agent	720 WEST BOONE AVE STE 200, SPOKANE, WA, 99201, UNITED STATES

Key Officers & Management

Name	Role	Address
DAVID HENZLER MD	Governing Person	309 E FARWELL RD, SUITE 204, SPOKANE, WA, 99218, UNITED STATES

National Provider Identifier

NPI Number:

1154645190

Link:

View on NPI website

Authorized Person:

Name:

DR. DAVID M HENZLER

Role:

OWNER

Phone:

5094893879

Taxonomy:

Selected Taxonomy:

2084N0400X - Neurology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-489-3879

Fax:

5094841823

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