SPOKANE INTERNAL MEDICINE, P.S.

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Company Details

Legal Name:	SPOKANE INTERNAL MEDICINE, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	February 22nd 1977
Date of Dissolution:	July 3rd 2020
Expiration date:	28 Feb 2020
UBI Number:	600 228 682
ZIP code:	99216
City:	Spokane
County:	SPOKANE
Home State:	WASHINGTON
Principal Office Street Address:	1215 N MCDONALD RD STE 101, SPOKANE VLY, WA, 99216-1557, UNITED STATES

Contact Details

E-Mail:	DFISCHER04M@GMAIL.COM
Phone Number:	+1 509-924-1950

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
SPOKANE INTERNAL MEDICINE	Registered Agent	1215 N MCDONDALD RD, # 101, SPOKANE VALLEY, WA, 99216-0000, UNITED STATES

Key Officers & Management

Name	Role	Address
GREGORY DOERING	Governing Person	11522 E SUNVIEW DR, SPOKANE, WA, 99206, UNITED STATES
DAVID FISCHER	Governing Person	918 S LIBERTY DR, LIBERTY LAKE, WA, 99019, UNITED STATES
JOHN SESTERO	Governing Person	5208 S HOGAN, SPOKANE, WA, 99223, UNITED STATES
ANDREW CHESTER	Governing Person	4931 S BELLAIRE, SPOKANE VALLEY, WA, 99037, UNITED STATES
KRISTINA SWIGGUM	Governing Person	-
ROBERT HUSTRULID	Governing Person	-

National Provider Identifier

NPI Number:

1437284841

Link:

View on NPI website

Authorized Person:

Name:

THOMAS CARLI

Role:

OFFICE ADMINISTRATOR

Phone:

5099228203

Taxonomy:

Selected Taxonomy:

207RG0300X - Geriatric Medicine (Internal Medicine) Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-924-1950

Fax:

5099210017

Form 5500 Series

Employer Identification Number (EIN):

910987719

Plan Year:

2019

Number Of Participants:

62

Plan Name:

401(K)

Sponsor's telephone number:

5099241950

File:

Plan Year:

2018

Number Of Participants:

72

Plan Name:

401(K)

Sponsor's telephone number:

5099241950

File:

Plan Year:

2017

Number Of Participants:

68

Plan Name:

401(K)

Sponsor's telephone number:

5099241950

File:

Plan Year:

2016

Number Of Participants:

60

Plan Name:

401(K)

Sponsor's telephone number:

5099241950

File:

Plan Year:

2015

Number Of Participants:

56

Plan Name:

401(K)

Sponsor's telephone number:

5099241950

File:

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