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ROBERT HERMANN, MD LLC
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Company Details
Legal Name:
ROBERT HERMANN, MD LLC
Jurisdiction:
WASHINGTON
Entity Type:
WA LIMITED LIABILITY COMPANY
Category:
DOMESTIC ENTITY
Status:
Administratively Dissolved
Formation/ Registration Date:
July 7th 2017
Date of Dissolution:
December 3rd 2018
Expiration date:
31 Jul 2018
UBI Number:
604 144 354
ZIP code:
98059
City:
Renton
County:
KING
Home State:
WASHINGTON
Principal Office Street Address:
12258 156TH AVE SE, RENTON, WA, 98059, UNITED STATES
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Registered Agent Information
Name
Role
Address
ROBERT HERMANN
Registered Agent
12258 156TH AVE SE, RENTON, WA, 98059-6333, UNITED STATES
Key Officers & Management
Name
Role
ROBERT HERMANN
Governing Person
National Provider Identifier
NPI Number:
1982129219
Link:
View on NPI website
Authorized Person:
Name:
ROBERT HERMANN
Role:
DOCTOR
Phone:
5099991790
Taxonomy:
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes
Contacts:
Phone:
+1 253-584-3577
Fax:
2535848916
Phone:
+1 253-589-6573
Fax:
2539841079
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