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PROACTIVE HEALTH CHIROPRACTIC, CORP.

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Company Details

Legal Name: PROACTIVE HEALTH CHIROPRACTIC, CORP.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 30th 2015
Date of Dissolution: February 9th 2023
Expiration date: 31 May 2022
UBI Number: 603 511 406
ZIP code: 99019
City: Liberty Lake
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 23801 E APPLEWAY AVE, 110, LIBERTY LAKE, WA, 99019-9687, UNITED STATES

Contact Details

E-Mail: SPINEDOCSAM@GMAIL.COM
Phone Number: +1 509-922-4133

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SAMUEL NELSON Registered Agent 4915 N VISTA GRANDE DR, OTIS ORCHARDS, WA, 99027-5001, UNITED STATES

Key Officers & Management

Name Role
SAMUEL NELSON Governing Person

National Provider Identifier

NPI Number:
1922480383

Authorized Person:

Name:
DR. SAMUEL NELSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

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