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BREMERTON WELLNESS PS

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Company Details

Legal Name: BREMERTON WELLNESS PS
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 25th 2007
Expiration date: 30 Apr 2026
UBI Number: 602 719 982
ZIP code: 98311
City: Bremerton
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 5050 STATE HIGHWAY 303 NE STE A101, BREMERTON, WA, 98311-3629, UNITED STATES

Contact Details

E-Mail: CHIROPRACTOR@BREMERTONWELLNESS.COM
Phone Number: +1 360-627-7408

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
AUDRA KUOPPALA Registered Agent 2231 SCHLEY WAY, BREMERTON, WA, 98310-4236, UNITED STATES

Key Officers & Management

Name Role Address
BRIAN SNAPP Governing Person -
SAHIBJIT GILL Governing Person 8202 NE SR 104 #105, KINGSTON, WA, 98346, UNITED STATES
COLLIN KUOPPALA Governing Person 902 VISTA DEL MAR DR # A, SEQUIM, WA, 98382-6622, UNITED STATES
SHAYNE YOCUM Governing Person -
AUDRA KUOPPALA Governing Person 2231 SCHLEY WAY, BREMERTON, WA, 98310-4236, UNITED STATES

National Provider Identifier

NPI Number:
1073032157
Certification Date:
2021-09-01

Authorized Person:

Name:
SAHIBJIT GILL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

History

Type Old value New value Date of change
Name change KINGSTON CROSSING WELLNESS, P.S. BREMERTON WELLNESS PS 2021-06-29

Paycheck Protection Program

Jobs Reported:
29
Initial Approval Amount:
$220,118
Date Approved:
2021-05-07
Loan Status:
Charged Off
SBA Guaranty Percentage:
100
Current Approval Amount:
$221,355
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $221,350
Utilities: $1
Jobs Reported:
24
Initial Approval Amount:
$220,300
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$220,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$221,897.17
Servicing Lender:
Liberty Bank
Use of Proceeds:
Payroll: $220,300
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