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SEATAC ACCIDENT AND INJURY P.S.

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Company Details

Legal Name: SEATAC ACCIDENT AND INJURY P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: December 17th 2020
Date of Dissolution: May 3rd 2022
Expiration date: 31 Dec 2021
UBI Number: 604 685 334
ZIP code: 98188
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 16005 INTERNATIONAL BLVD STE A, SEATAC, WA, 98188-2993, UNITED STATES

Contact Details

E-Mail: TNABHOLZ@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LTP CONSULTING LLC Registered Agent 304 MAIN AVE S STE 104, RENTON, WA, 98057-2758, UNITED STATES

Key Officers & Management

Name Role Address
TREVOR NABHOLZ Governing Person -
TREVOR NABHOLZ Incorporator 16005 INTERNATIONAL BLVD STE A, SEATAC, WA, 98188-2993, UNITED STATES
GONZALO PERLA Incorporator 16005 INTERNATIONAL BLVD STE A, SEATAC, WA, 98188-2993, UNITED STATES

National Provider Identifier

NPI Number:
1043800436
Certification Date:
2021-01-20

Authorized Person:

Name:
BERTHA RODRIGUEZ RODRIGUEZ
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2065356080
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