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SLEEP MEDICINE SOLUTIONS NW PLLC

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Company Details

Legal Name: SLEEP MEDICINE SOLUTIONS NW PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 21st 2023
Expiration date: 30 Sep 2025
UBI Number: 605 331 655
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1380 112TH AVE NE STE 309, BELLEVUE, WA, 98004-3759, UNITED STATES

Contact Details

E-Mail: CCOTTO@KARRTUTTLE.COM

Nature of Business

MEDICAL SERVICES

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Registered Agent Information

Name Role Address
KITSAP CORPORATE SERVICES, INC Registered Agent 19717 FRONT ST NE, POULSBO, WA, 98370-8756, UNITED STATES

Key Officers & Management

Name Role Address
TERESA JACOBS MD Governing Person -
ALYSHA A. YAGODA EXECUTOR 701 5TH AVE STE 3300, SEATTLE, WA, 98104-7055, UNITED STATES

National Provider Identifier

NPI Number:
1750155081
Certification Date:
2023-11-07

Authorized Person:

Name:
MS. JEANNEIN MARIE DIERINGER
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RS0012X - Sleep Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
4255625885

Form 5500 Series

Employer Identification Number (EIN):
933765927
Plan Year:
2024
Number Of Participants:
0
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
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