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SURGICAL SPECIALISTS FIELD & NEWBOLD, PLLC

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Company Details

Legal Name: SURGICAL SPECIALISTS FIELD & NEWBOLD, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: November 9th 2006
Date of Dissolution: March 1st 2011
Expiration date: 30 Nov 2010
UBI Number: 602 667 570
ZIP code: 99362
City: Walla Walla
County: WALLA WALLA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1017 S 2ND AVE #3, WALLA WALLA, WA, 99362, UNITED STATES

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Registered Agent Information

Name Role Address
MICHAEL K STAUB Registered Agent 312 W SPRAGUE AVE, SPOKANE, WA, 99201, UNITED STATES

Key Officers & Management

Name Role Address
FRED FIELD Governing Person -
SCOTT NEWBOLD Governing Person -
FRED FIELD MD EXECUTOR 1017 S 2ND AVE #3, WALLA WALLA, WA, 99362, UNITED STATES

National Provider Identifier

NPI Number:
1366689069

Authorized Person:

Name:
FREDERICK I FIELD
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5095257515

Form 5500 Series

Employer Identification Number (EIN):
205900391
Plan Year:
2010
Number Of Participants:
8
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
SCOTT G. NEWBOLD(Plan administrator) SCOTT G. NEWBOLD(Employer/plan sponsor)
Plan Year:
2010
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
SCOTT G. NEWBOLD(Plan administrator) SCOTT G. NEWBOLD(Employer/plan sponsor)
Plan Year:
2009
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
SCOTT G. NEWBOLD(Plan administrator) SCOTT G. NEWBOLD(Employer/plan sponsor)
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