PUGET SOUND SPECIALTY PHYSICIANS, PLLC

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Company Details

Legal Name:	PUGET SOUND SPECIALTY PHYSICIANS, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	March 27th 2001
Date of Dissolution:	July 3rd 2012
Expiration date:	31 Mar 2012
UBI Number:	602 108 453

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Registered Agent Information

Name	Role	Address
DAVID H BISHOP MD	Registered Agent	2820 GRIFFIN AVE #210, ENUMCLAW, WA, 98022, UNITED STATES

Key Officers & Management

Name	Role	Address
CHARLES CHU	Governing Person	2820 GRIFFIN AVE STE 101, ENUMCLAW, WA, 98022, UNITED STATES
DAVID BISHOP	Governing Person	2820 GRIFFIN AVE STE 210, ENUMCLAW, WA, 98022, UNITED STATES
CHARLES RUSSELL	Governing Person	2820 GRIFFIN AVE STE 210, ENUMCLAW, WA, 98022, UNITED STATES
STEPHEN ATKINSON	Governing Person	1427 JEFFERSON AVE STE 203, ENUMCLAW, WA, 98022, UNITED STATES

National Provider Identifier

NPI Number:

1124203963

Link:

View on NPI website

Authorized Person:

Name:

TINA M QUEVEDO

Role:

BILLING SUPERVISOR

Phone:

2538412006

Taxonomy:

Selected Taxonomy:

213ES0103X - Foot & Ankle Surgery Podiatrist

Is Primary:

Yes

Contacts:

Phone:

+1 253-841-2006

Fax:

2538406691

Form 5500 Series

Employer Identification Number (EIN):

912098279

Plan Year:

2011

Number Of Participants:

Plan Name:

401(K)

Sponsor's telephone number:

3608025231

File:

View File

Plan Administrator / Signatory:

CHARLES CHU(Plan administrator)

Plan Year:

2010

Number Of Participants:

Plan Name:

401(K)

Sponsor's telephone number:

3608025231

File:

View File

Plan Administrator / Signatory:

TODD HUGHES(Plan administrator)

Plan Year:

2010

Number Of Participants:

Plan Name:

401(K)

Sponsor's telephone number:

3608025231

Plan Administrator / Signatory:

TODD HUGHES(Plan administrator)

Plan Year:

2009

Number Of Participants:

Plan Name:

401(K)

Sponsor's telephone number:

3608025231

File:

View File

Plan Administrator / Signatory:

TODD HUGHES(Plan administrator)

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PUGET SOUND SPECIALTY PHYSICIANS, PLLC

Is this your business?

Company Details

Reviews Leave a review

Registered Agent Information

Key Officers & Management

National Provider Identifier

Authorized Person:

Taxonomy:

Contacts:

Form 5500 Series

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