PULMONARY SPECIALISTS, P.S.

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Company Details

Legal Name:	PULMONARY SPECIALISTS, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	January 31st 2002
Date of Dissolution:	December 31st 2018
Expiration date:	31 Jan 2019
UBI Number:	602 178 463
ZIP code:	99203
City:	Spokane
County:	SPOKANE
Home State:	WASHINGTON
Principal Office Street Address:	1910 S. UPPER TERRACE, SPOKANE, WA, 99203, UNITED STATES

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Registered Agent Information

Name	Role	Address
SAMUEL G JOSEPH	Registered Agent	1910 S UPPER TERRACE RD, SPOKANE, WA, 99203-3465, UNITED STATES

Key Officers & Management

Name	Role
JANE JOSEPH	Governing Person
SAM JOSEPH	Governing Person

National Provider Identifier

NPI Number:

1710047493

Link:

View on NPI website

Authorized Person:

Name:

SAMUEL GREG JOSEPH

Role:

PRACTITIONER

Phone:

5093533950

Taxonomy:

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

No

Selected Taxonomy:

207RC0200X - Critical Care Medicine (Internal Medicine) Physician

Is Primary:

No

Selected Taxonomy:

207RP1001X - Pulmonary Disease Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-353-3960

Fax:

5096257387

Form 5500 Series

Employer Identification Number (EIN):

912174284

Plan Year:

2014

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

5093533960

File:

Plan Administrator / Signatory:

SAMUEL JOSEPH(Plan administrator)

Plan Year:

2014

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

5093533960

File:

Plan Administrator / Signatory:

SAMUEL JOSEPH(Plan administrator)

Plan Year:

2013

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

5093533960

File:

Plan Administrator / Signatory:

SAMUEL JOSEPH(Plan administrator)

Plan Year:

2012

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

5093533960

File:

Plan Administrator / Signatory:

SAMUEL JOSEPH(Plan administrator)

Plan Year:

2011

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

5093533960

File:

Plan Administrator / Signatory:

SAMUEL JOSEPH(Plan administrator)

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