JOHN J. MILLER M.D., P.S.

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Company Details

Legal Name:	JOHN J. MILLER M.D., P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	March 27th 2003
Expiration date:	31 Mar 2026
UBI Number:	602 282 676
ZIP code:	98520
City:	Aberdeen
County:	GRAYS HARBOR
Home State:	WASHINGTON
Principal Office Street Address:	1220 BASICH BLVD STE B, ABERDEEN, WA, 98520, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$28,378

Contact Details

E-Mail:	MILLERJOHNMD@GMAIL.COM
Phone Number:	+1 360-537-7577

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
JOHN MILLER	Registered Agent	1220 BASICH BLVD STE B, ABERDEEN, WA, 98520-1070, UNITED STATES

Key Officers & Management

Name	Role
JOHN MILLER	Governing Person

National Provider Identifier

NPI Number:

1063636892

Certification Date:

2023-03-28

Link:

View on NPI website

Authorized Person:

Name:

MIRANDA S SHOEMAKER

Role:

OFFICE MANAGER

Phone:

3605377577

Taxonomy:

Selected Taxonomy:

2084N0400X - Neurology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-537-7577

Form 5500 Series

Employer Identification Number (EIN):

562349887

Plan Year:

2024

Number Of Participants:

4

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3605377577

File:

Plan Year:

2023

Number Of Participants:

4

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3605377577

File:

Plan Year:

2022

Number Of Participants:

4

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3605377577

File:

Plan Year:

2021

Number Of Participants:

4

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3605377577

File:

Plan Administrator / Signatory:

JOHN M. MILLER, M.D.(Plan administrator)

Plan Year:

2020

Number Of Participants:

4

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3605377577

File:

Paycheck Protection Program

Jobs Reported:

4

Initial Approval Amount:

$46,720

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$46,720

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$47,137.16

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $37,376
Utilities: $2,344
Rent: $5,000
Healthcare: $2000

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