DR. DANIEL W SKINNER, P.S.

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Company Details

Legal Name:	DR. DANIEL W SKINNER, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	July 1st 1975
Expiration date:	31 Jul 2026
UBI Number:	600 170 265
ZIP code:	99216
City:	Spokane
County:	SPOKANE
Home State:	WASHINGTON
Principal Office Street Address:	12509 E MISSION AVE STE 101, SPOKANE VLY, WA, 99216-1061, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$61,029

Contact Details

E-Mail:	TRACY@OMAXSURGERY.COM
Phone Number:	+1 509-928-3600

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
DANIEL SKINNER	Registered Agent	12509 E MISSION AVE STE 101, SPOKANE VALLEY, WA, 99216-1061, UNITED STATES

Key Officers & Management

Name	Role
DANIEL SKINNER	Governing Person

Unique Entity ID

Unique Entity ID:

LQESFC92N485

CAGE Code:

9F3R3

UEI Expiration Date:

2025-10-11

Business Information

Doing Business As:

DANIEL W SKINNER DDS MS

Activation Date:

2024-10-15

Initial Registration Date:

2022-12-07

National Provider Identifier

NPI Number:

1811083793

Certification Date:

2023-08-16

Link:

View on NPI website

Authorized Person:

Name:

DANIEL W SKINNER

Role:

PRESIDENT

Phone:

5099283600

Taxonomy:

Selected Taxonomy:

261QS0112X - Oral and Maxillofacial Surgery Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 509-928-3600

Fax:

5099227244

Form 5500 Series

Employer Identification Number (EIN):

910935783

Plan Year:

2023

Number Of Participants:

27

Plan Name:

401(K)

Sponsor's telephone number:

5099283600

File:

Plan Year:

2023

Number Of Participants:

11

Plan Name:

CASH BALANCE

Sponsor's telephone number:

5099283600

File:

Plan Year:

2022

Number Of Participants:

10

Plan Name:

CASH BALANCE

Sponsor's telephone number:

5099283600

File:

Plan Year:

2022

Number Of Participants:

25

Plan Name:

401(K)

Sponsor's telephone number:

5099283600

File:

Plan Year:

2021

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

5099283600

File:

Paycheck Protection Program

Jobs Reported:

20

Initial Approval Amount:

$188,200

Date Approved:

2020-04-09

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$188,200

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$189,999.5

Servicing Lender:

Washington Trust Bank

Use of Proceeds:

Payroll: $188,200

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