COASTAL INTERNAL MEDICINE, PLLC

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Company Details

Legal Name:	COASTAL INTERNAL MEDICINE, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	September 28th 1998
Date of Dissolution:	February 3rd 2024
Expiration date:	30 Sep 2023
UBI Number:	601 903 922
ZIP code:	98520
City:	Aberdeen
County:	GRAYS HARBOR
Home State:	WASHINGTON
Principal Office Street Address:	1921 SUMNER AVE, ABERDEEN, WA, 98520-3606, UNITED STATES

Contact Details

E-Mail:

COASTALIM@COMCAST.NET

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
TIMOTHY H TROEH MD	Registered Agent	1921 SUMNER AVE, ABERDEEN, WA, 98520-3606, UNITED STATES

Key Officers & Management

Name	Role
TIMOTHY H TROEH MD	Governing Person
DEE TROEH	Governing Person

National Provider Identifier

NPI Number:

1740528884

Link:

View on NPI website

Authorized Person:

Name:

MICHELLE PELT

Role:

CLINIC ADMINISTRATOR

Phone:

3605380135

Taxonomy:

Selected Taxonomy:

363A00000X - Physician Assistant

Is Primary:

Yes

Contacts:

Phone:

+1 360-538-0135

Fax:

3605333475

Form 5500 Series

Employer Identification Number (EIN):

911924743

Plan Year:

2023

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

3605380135

File:

Plan Year:

2022

Number Of Participants:

10

Plan Name:

401(K)

Sponsor's telephone number:

3605380135

File:

Plan Year:

2021

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

3605380135

File:

Plan Year:

2020

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

3605380135

File:

Plan Year:

2019

Number Of Participants:

21

Plan Name:

401(K)

Sponsor's telephone number:

3605380135

File:

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