NORTHWEST FOOT & ANKLE CENTER, P.S.

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Company Details

Legal Name:	NORTHWEST FOOT & ANKLE CENTER, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	April 13th 2001
Expiration date:	30 Apr 2026
UBI Number:	602 113 454
ZIP code:	98055
City:	Renton
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	4300 TALBOT RD S STE 102, RENTON, WA, 98055, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$3,342

Contact Details

E-Mail:	PETRINALEWIS24@GMAIL.COM
Phone Number:	+1 425-277-3668

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
MARK THOMAS LEWIS	Registered Agent	4300 TALBOT RD S STE 102, RENTON, WA, 98055-0000, UNITED STATES

Key Officers & Management

Name	Role	Address
MARK LEWIS	Governing Person	4300 TALBOT RD S STE 102, RENTON, WA, 98055, UNITED STATES
PETRINA LEWIS	Governing Person	4300 TALBOT RD S STE 102, RENTON, WA, 98055, UNITED STATES

National Provider Identifier

NPI Number:

1346265261

Certification Date:

2023-03-27

Link:

View on NPI website

Authorized Person:

Name:

PETRINA CELESTE LEWIS

Role:

OWNER

Phone:

4252773668

Taxonomy:

Selected Taxonomy:

332B00000X - Durable Medical Equipment & Medical Supplies

Is Primary:

No

Selected Taxonomy:

213E00000X - Podiatrist

Is Primary:

Yes

Contacts:

Phone:

+1 425-277-3668

Fax:

4252770732

Form 5500 Series

Employer Identification Number (EIN):

912119915

Plan Year:

2022

Number Of Participants:

11

Sponsor's telephone number:

2063727443

File:

Plan Administrator / Signatory:

MARK LEWIS(Plan administrator)

Plan Year:

2021

Number Of Participants:

8

Sponsor's telephone number:

2063727443

File:

Plan Administrator / Signatory:

MARK LEWIS(Plan administrator)

Plan Year:

2020

Number Of Participants:

5

Sponsor's telephone number:

2063727443

File:

Plan Administrator / Signatory:

MARK LEWIS(Plan administrator)

Plan Year:

2019

Number Of Participants:

5

Sponsor's telephone number:

2063727443

File:

Plan Administrator / Signatory:

MARK LEWIS(Plan administrator)

Plan Year:

2018

Number Of Participants:

5

Sponsor's telephone number:

2063727443

Plan Administrator / Signatory:

MARK LEWIS(Plan administrator)

Paycheck Protection Program

Jobs Reported:

11

Initial Approval Amount:

$103,900

Date Approved:

2020-04-30

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$103,900

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$105,124.03

Servicing Lender:

First-Citizens Bank & Trust Company

Use of Proceeds:

Payroll: $103,900

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