SPOKANE DERMATOLOGY CLINIC, P.S.

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Company Details

Legal Name:	SPOKANE DERMATOLOGY CLINIC, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	October 28th 1996
Expiration date:	31 Oct 2026
UBI Number:	601 747 989
ZIP code:	99202
City:	Spokane
County:	SPOKANE
Home State:	WASHINGTON
Principal Office Street Address:	324 S SHERMAN ST, SPOKANE, WA, 99202-1461, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$99,625

Contact Details

E-Mail:	JLAUDERDALE@SPOKANEDERM.COM
Phone Number:	+1 509-624-1184

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
WILLIAM P WERSCHLER	Registered Agent	324 S SHERMAN ST # A1, SPOKANE, WA, 99202-0000, UNITED STATES

Key Officers & Management

Name	Role
WILLIAM WERSCHLER	Governing Person
PAM SCHELL WERSCHLER	Governing Person

National Provider Identifier

NPI Number:

1649367889

Link:

View on NPI website

Authorized Person:

Name:

JOHN DRISCOLL

Role:

ADMINISTRATOR

Phone:

5096241184

Taxonomy:

Selected Taxonomy:

207ND0101X - MOHS-Micrographic Surgery Physician

Is Primary:

No

Selected Taxonomy:

207N00000X - Dermatology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-624-1184

Fax:

5096251449

Form 5500 Series

Employer Identification Number (EIN):

911758741

Plan Year:

2023

Number Of Participants:

47

Plan Name:

401(K)

Sponsor's telephone number:

5096241184

File:

Plan Administrator / Signatory:

WILLIAM WERSCHLER(Plan administrator)

Plan Year:

2022

Number Of Participants:

40

Plan Name:

401(K)

Sponsor's telephone number:

5096241184

File:

Plan Administrator / Signatory:

WILLIAM WERSCHLER(Plan administrator)

Plan Year:

2021

Number Of Participants:

37

Plan Name:

401(K)

Sponsor's telephone number:

5096241184

File:

Plan Administrator / Signatory:

WILLIAM WERSCHLER(Plan administrator)

Plan Year:

2020

Number Of Participants:

39

Plan Name:

401(K)

Sponsor's telephone number:

5096241184

File:

Plan Administrator / Signatory:

WILLIAM WERSCHLER(Plan administrator)

Plan Year:

2019

Number Of Participants:

45

Plan Name:

401(K)

Sponsor's telephone number:

5096241184

File:

Plan Administrator / Signatory:

WILLIAM WERSCHLER(Plan administrator)

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