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NORTHWEST SPINE CLINIC CORP
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Company Details
Legal Name:
NORTHWEST SPINE CLINIC CORP
Jurisdiction:
WASHINGTON
Entity Type:
WA PROFIT CORPORATION
Category:
DOMESTIC ENTITY
Status:
Administratively Dissolved
Formation/ Registration Date:
June 7th 2016
Date of Dissolution:
November 1st 2017
Expiration date:
30 Jun 2017
UBI Number:
604 000 137
ZIP code:
98037
City:
Lynnwood
County:
SNOHOMISH
Home State:
WASHINGTON
Principal Office Street Address:
4629 168TH ST SW #B, LYNNWOOD, WA, 98037, UNITED STATES
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Registered Agent Information
Name
Role
Address
DAE HYUN CHOI
Registered Agent
11900 NE 1ST ST #300 RM 3097, BELLEVUE, WA, 98005-0000, UNITED STATES
Key Officers & Management
Name
Role
DAE CHOI
Governing Person
National Provider Identifier
NPI Number:
1306297221
Link:
View on NPI website
Authorized Person:
Name:
DR. ROY KIHYUK JUNG
Role:
PRESIDENT
Phone:
4257410600
Taxonomy:
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes
Contacts:
Phone:
+1 425-741-0600
Fax:
4257410601
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