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PINE LAKE CHIROPRACTIC CLINIC, INC.

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Company Details

Legal Name: PINE LAKE CHIROPRACTIC CLINIC, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 20th 1996
Expiration date: 31 Dec 2025
UBI Number: 601 757 818
ZIP code: 98075
City: Sammamish
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2830 228TH AVE SE STE C, SAMMAMISH, WA, 98075-9300, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $379

Contact Details

E-Mail: DRBAHM@PINELAKECHIROPRACTIC.COM
Phone Number: +1 425-391-4095

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DAVID E BAHM Registered Agent 2830 228TH AVE SE STE C, SAMMAMISH, WA, 98075-9300, UNITED STATES

Key Officers & Management

Name Role
DAVID BAHM Governing Person

National Provider Identifier

NPI Number:
1225159940

Authorized Person:

Name:
DR. DAVID EMIL BAHM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
4253916059
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