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SPOKANE PHYSICIAN SERVICES, A PROFESSIONAL LLC

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Company Details

Legal Name: SPOKANE PHYSICIAN SERVICES, A PROFESSIONAL LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Withdrawn
Formation/ Registration Date: February 11th 2016
Date of Dissolution: April 1st 2024
Expiration date: 28 Feb 2025
UBI Number: 603 561 551
Home State: LOUISIANA
Principal Office Street Address: Google Maps Logo 200 CORPORATE BLVD, LAFAYETTE, LA, 70508, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 200 CORPORATE BLVD, LAFAYETTE, LA, 70508-3870, UNITED STATES

Contact Details

E-Mail: CORPORATIONS@SCP-HEALTH.COM
Phone Number: +1 337-237-1915

Nature of Business

Administration & Business Support Services

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Registered Agent Information

Name Role Address
C T CORPORATION SYSTEM Registered Agent 711 CAPITOL WAY S STE 204, OLYMPIA, WA, 98501-1267, UNITED STATES

Key Officers & Management

Name Role Address
STEPHEN NICHOLS Governing Person 200 CORPORATE BLVD, LAFAYETTE, LA, 70508-3870, UNITED STATES

National Provider Identifier

NPI Number:
1861867848

Authorized Person:

Name:
DAVID M GRACE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
Yes

Contacts:

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