ROBERT E. ETTLINGER, M.D., P.S.

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Company Details

Legal Name:	ROBERT E. ETTLINGER, M.D., P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	August 29th 1980
Date of Dissolution:	December 1st 2014
Expiration date:	31 Aug 2014
UBI Number:	600 373 736

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Registered Agent Information

Name	Role	Address
ROBERT E ETTLINGER	Registered Agent	1901 S CEDAR STE 108, TACOMA, WA, 98405, UNITED STATES

Key Officers & Management

Name	Role
ROBERT ETTLINGER	Governing Person

National Provider Identifier

NPI Number:

1619258415

Link:

View on NPI website

Authorized Person:

Name:

DR. ROBERT E ETTLINGER

Role:

DIRECTOR

Phone:

2532722261

Taxonomy:

Selected Taxonomy:

207RR0500X - Rheumatology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 253-272-2261

Fax:

2532745018

Form 5500 Series

Employer Identification Number (EIN):

911117668

Plan Year:

2014

Number Of Participants:

13

Sponsor's telephone number:

2532722261

File:

Plan Administrator / Signatory:

ROBERT E. ETTLINGER(Plan administrator)

Plan Year:

2013

Number Of Participants:

12

Sponsor's telephone number:

2532722261

File:

Plan Administrator / Signatory:

ROBERT E. ETTLINGER(Plan administrator)

Plan Year:

2012

Number Of Participants:

20

Sponsor's telephone number:

2532722261

File:

Plan Administrator / Signatory:

ROBERT E. ETTLINGER(Plan administrator)

Plan Year:

2011

Number Of Participants:

21

Sponsor's telephone number:

2532722261

File:

Plan Administrator / Signatory:

ROBERT E. ETTLINGER(Plan administrator)

Plan Year:

2010

Number Of Participants:

20

Sponsor's telephone number:

2532722261

Plan Administrator / Signatory:

ROBERT E. ETTLINGER(Plan administrator)

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