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CARLA J. BAUMAN, M.D., P.S.

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Company Details

Legal Name: CARLA J. BAUMAN, M.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 11th 2002
Expiration date: 30 Apr 2026
UBI Number: 602 197 031
ZIP code: 98005
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 626 120TH AVE NE, B-104, BELLEVUE, WA, 98005-3077, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $12,683

Contact Details

E-Mail: ADMIN@CJBMD.COM
Phone Number: +1 206-604-0407

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
VP Registered Agent 626 120TH AVE NE, B-104, BELLEVUE, WA, 98005-3077, UNITED STATES

Key Officers & Management

Name Role Address
CARLA BAUMAN Governing Person 7683 SE 27TH ST #443, MERCER ISLAND, WA, 98040, UNITED STATES
LUCAS SCHENCK Governing Person 7683 SE 27TH ST #443, MERCER ISLAND, WA, 98040, UNITED STATES

National Provider Identifier

NPI Number:
1548658362
Certification Date:
2020-07-17

Authorized Person:

Name:
DR. CARLA J BAUMAN
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
460475261
Plan Year:
2023
Number Of Participants:
16
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
LUCAS SCHENCK(Plan administrator)
Plan Year:
2022
Number Of Participants:
13
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CARLA BAUMAN(Plan administrator)
Plan Year:
2021
Number Of Participants:
8
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CARLA BAUMAN(Plan administrator)
Plan Year:
2020
Number Of Participants:
7
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CARLA BAUMAN(Plan administrator)
Plan Year:
2019
Number Of Participants:
8
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CARLA BAUMAN(Plan administrator)

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$137,424
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$137,424
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$138,859.32
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $137,424
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