SPOKANE BRAIN & SPINE PS

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Company Details

Legal Name:	SPOKANE BRAIN & SPINE PS
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	September 25th 2007
Date of Dissolution:	January 2nd 2014
Expiration date:	30 Sep 2013
UBI Number:	602 765 609
ZIP code:	99202
City:	Spokane
County:	SPOKANE
Home State:	WASHINGTON
Principal Office Street Address:	715 EAST SPRAGUE AVE, C/O CORVUS MEDICAL, SPOKANE, WA, 99202, UNITED STATES

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Registered Agent Information

Name	Role	Address
JEFF KAVADIAS CPA PC	Registered Agent	1124 WEST RIVERSIDE AVE, SUITE 215, SPOKANE, WA, 99201, UNITED STATES

Key Officers & Management

Name	Role	Address
JOHN DEMAKUS	Governing Person	3926 W CENTER LN, SPOKANE, WA, 99208-9218, UNITED STATES

National Provider Identifier

NPI Number:

1679745905

Link:

View on NPI website

Authorized Person:

Name:

JOHN JAMES DEMAKAS

Role:

OWNER/PRESIDENT

Phone:

5097443490

Taxonomy:

Selected Taxonomy:

207T00000X - Neurological Surgery Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-744-3490

Fax:

5097443499

Form 5500 Series

Employer Identification Number (EIN):

261211477

Plan Year:

2012

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

5097443490

File:

Plan Administrator / Signatory:

JOHN DAMAKAS(Plan administrator)

Plan Year:

2011

Number Of Participants:

10

Plan Name:

401(K)

Sponsor's telephone number:

5097443490

File:

Plan Administrator / Signatory:

JOHN DAMAKAS(Plan administrator)

Plan Year:

2010

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

5097443490

File:

Plan Administrator / Signatory:

JOHN DAMAKAS(Plan administrator)

Plan Year:

2009

Number Of Participants:

7

Plan Name:

401(K)

Sponsor's telephone number:

5097443490

File:

Plan Administrator / Signatory:

JOHN DAMAKAS(Plan administrator)

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