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DANIEL W. GOTTLIEB, M.D., P.S.

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Company Details

Legal Name: DANIEL W. GOTTLIEB, M.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 14th 1985
Expiration date: 30 Nov 2025
UBI Number: 600 586 223
ZIP code: 98166
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 16122 8TH AVE SW, SUITE D1, BURIEN, WA, 98166-2967, UNITED STATES

Contact Details

E-Mail: DRDGOTTLIEB@GMAIL.COM
Phone Number: +1 206-241-7146

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DANIEL GOTTLIEB Registered Agent 16122 8TH AVE SW STE D1, BURIEN, WA, 98166-2967, UNITED STATES

Key Officers & Management

Name Role
DANIEL GOTTLIEB Governing Person

National Provider Identifier

NPI Number:
1720009947

Authorized Person:

Name:
DR. DANIEL W GOTTLIEB
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2068249510

Form 5500 Series

Employer Identification Number (EIN):
911290612
Plan Year:
2023
Number Of Participants:
8
Sponsor's telephone number:
Plan Year:
2022
Number Of Participants:
5
Sponsor's telephone number:
Plan Year:
2021
Number Of Participants:
6
Sponsor's telephone number:
Plan Year:
2020
Number Of Participants:
7
Sponsor's telephone number:
Plan Year:
2019
Number Of Participants:
8
Sponsor's telephone number:

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$93,992
Date Approved:
2021-03-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$93,992
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$94,676.98
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $93,992
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