PLATEAU ANESTHESIA P.S.

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Company Details

Legal Name:	PLATEAU ANESTHESIA P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	February 18th 1998
Date of Dissolution:	March 6th 2019
Expiration date:	28 Feb 2019
UBI Number:	601 854 264
ZIP code:	98223
City:	Arlington
County:	SNOHOMISH
Home State:	WASHINGTON
Principal Office Street Address:	27514 15TH AVE NE, ARLINGTON, WA, 98223-9170, UNITED STATES

Contact Details

E-Mail:

CSCHMALZ@LIVE.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role
CHRISTIAN SCHMALZ	Registered Agent

Key Officers & Management

Name	Role	Address
GARY WAGNER	Governing Person	19621 SE 424TH ST, ENUMCLAW, WA, 98022, UNITED STATES
CHRISTIAN SCHMALZ	Governing Person	2626 FREESTAD RD, ARLINGTON, WA, 98223, UNITED STATES

National Provider Identifier

NPI Number:

1861547200

Link:

View on NPI website

Authorized Person:

Name:

MS. HELEN J. WALTON

Role:

PRESIDENT

Phone:

3608023243

Taxonomy:

Selected Taxonomy:

367500000X - Certified Registered Nurse Anesthetist

Is Primary:

Yes

Contacts:

Phone:

+1 360-802-3243

Fax:

3608023237

Form 5500 Series

Employer Identification Number (EIN):

911880667

Plan Year:

2018

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

4258901896

File:

Plan Administrator / Signatory:

GARY L WAGNER(Plan administrator) GARY L WAGNER(Employer/plan sponsor)

Plan Year:

2017

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

4258901896

File:

Plan Administrator / Signatory:

GARY WAGNER(Plan administrator) GARY WAGNER(Employer/plan sponsor)

Plan Year:

2016

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

4258901896

File:

Plan Administrator / Signatory:

GARY WAGNER(Plan administrator) GARY WAGNER(Employer/plan sponsor)

Plan Year:

2015

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

4258901896

File:

Plan Administrator / Signatory:

GARY WAGNER(Plan administrator) GARY WAGNER(Employer/plan sponsor)

Plan Year:

2014

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

3608252505

File:

Plan Administrator / Signatory:

GARY WAGNER(Plan administrator)

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