BELLINGHAM UROLOGY GROUP PLLC

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Company Details

Legal Name:	BELLINGHAM UROLOGY GROUP PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	November 25th 2014
Expiration date:	30 Nov 2025
UBI Number:	603 455 361
ZIP code:	98225
City:	Bellingham
County:	WHATCOM
Home State:	WASHINGTON
Principal Office Street Address:	340 BIRCHWOOD AVE, ATTN: CORI, BELLINGHAM, WA, 98225-1782, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$127,280

Contact Details

E-Mail:	CJDOUVILLE2@HINET.ORG
Phone Number:	+1 360-714-3400

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
JOHN M PETTIT	Registered Agent	340 BIRCHWOOD AVE, ATTN: CORI, BELLINGHAM, WA, 98225-1782, UNITED STATES

Key Officers & Management

Name	Role
JOHN PETTIT	Governing Person

National Provider Identifier

NPI Number:

1043690126

Link:

View on NPI website

Authorized Person:

Name:

JOHN M PETTIT

Role:

OWNER

Phone:

3607143400

Taxonomy:

Selected Taxonomy:

261QA1903X - Ambulatory Surgical Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 360-714-3400

Fax:

3607143402

Form 5500 Series

Employer Identification Number (EIN):

472435305

Plan Year:

2023

Number Of Participants:

Plan Name:

401(K)

Sponsor's telephone number:

3607143400

File:

View File

Plan Administrator / Signatory:

CORI DOUVILLE(Plan administrator)

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$233,540

Date Approved:

2021-01-29

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$233,540

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$234,826.07

Servicing Lender:

First Fed Bank

Use of Proceeds:

Payroll: $233,535
Utilities: $1