SEATTLE ANESTHESIOLOGISTS, P.S.

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Company Details

Legal Name:	SEATTLE ANESTHESIOLOGISTS, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	January 11th 2008
Date of Dissolution:	June 3rd 2020
Expiration date:	31 Jan 2020
UBI Number:	602 795 859
ZIP code:	98203
City:	Everett
County:	SNOHOMISH
Home State:	WASHINGTON
Principal Office Street Address:	6003 23RD DR W, SUITE 100, EVERETT, WA, 98203-1583, UNITED STATES
Principal Office Mailing Address:	PO BOX 4069, EVERETT, WA, 98204-0007, UNITED STATES

Contact Details

E-Mail:	SHILOH.S@SUPPORTMED.COM
Phone Number:	+1 425-407-1000

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
SUPPORTMED, INC	Registered Agent	6003 23RD DR W, EVERETT, WA, 98203-0000, UNITED STATES

Key Officers & Management

Name	Role	Address
LINH TRAN	Governing Person	PO BOX 4069, EVERETT, WA, 98204, UNITED STATES
FRANK CHIVERS	Governing Person	PO BOX 4069, EVERETT, WA, 98204, UNITED STATES
RICHARD NGUYEN	Governing Person	PO BOX 4069, EVERETT, WA, 98204, UNITED STATES

National Provider Identifier

NPI Number:

1699952911

Link:

View on NPI website

Authorized Person:

Name:

FRANK CHIVERS

Role:

PRESIDENT

Phone:

4253533788

Taxonomy:

Selected Taxonomy:

207L00000X - Anesthesiology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 425-353-3788

Fax:

4253538041

Phone:

+1 206-364-0500

Form 5500 Series

Employer Identification Number (EIN):

352321374

Plan Year:

2019

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

4253532840

File:

Plan Administrator / Signatory:

FRANK CHIVERS(Plan administrator) FRANK CHIVERS(Employer/plan sponsor)

Plan Year:

2018

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

4253532840

File:

Plan Administrator / Signatory:

FRANK CHIVERS(Plan administrator) FRANK CHIVERS(Employer/plan sponsor)

Plan Year:

2018

Number Of Participants:

8

Plan Name:

CASH BALANCE

Sponsor's telephone number:

4253532840

File:

Plan Administrator / Signatory:

FRANK CHIVERS(Plan administrator) FRANK CHIVERS(Employer/plan sponsor)

Plan Year:

2017

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

4253532840

File:

Plan Administrator / Signatory:

FRANK CHIVERS(Plan administrator) FRANK CHIVERS(Employer/plan sponsor)

Plan Year:

2017

Number Of Participants:

9

Plan Name:

CASH BALANCE

Sponsor's telephone number:

4253532840

File:

Plan Administrator / Signatory:

FRANK CHIVERS(Plan administrator) FRANK CHIVERS(Employer/plan sponsor)

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