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PETER S BILLING MD PLLC

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Company Details

Legal Name: PETER S BILLING MD PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 12th 2018
Expiration date: 31 Dec 2025
UBI Number: 604 347 959
ZIP code: 98036
City: Lynnwood
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 19230 ALDERWOOD MALL PKWY STE 120, LYNNWOOD, WA, 98036-4869, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $208

Contact Details

E-Mail: PBILLING9@GMAIL.COM

Nature of Business

Professional, Scientific & Technical Services

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Registered Agent Information

Name Role
SEL, INC. Registered Agent

Key Officers & Management

Name Role Address
PETER BILLING Executor 16529 41ST AVE NE, LK FOREST PK, WA, 98155-5609, UNITED STATES
PETER BILLING Governing Person 747 E SOUTH TEMPLE, SUITE 130, SALT LAKE CITY, UT, 84102, UNITED STATES

National Provider Identifier

NPI Number:
1720551195

Authorized Person:

Name:
PETER BILLING
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

History

Type Old value New value Date of change
Name change PETER S BILLING MD LLC PETER S BILLING MD PLLC 2020-04-24
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