PULLMAN ANESTHESIA, PLLC

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Company Details

Legal Name:	PULLMAN ANESTHESIA, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	January 8th 2019
Expiration date:	31 Jan 2026
UBI Number:	604 377 797
ZIP code:	99163
City:	Pullman
County:	WHITMAN
Home State:	WASHINGTON
Principal Office Street Address:	835 SE BISHOP BLVD, PULLMAN, WA, 99163-5512, UNITED STATES

Contact Details

E-Mail:

COREY.JOHNSON@PULLMANREGIONAL.ORG

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
COREY JOHNSON	Registered Agent	835 SE BISHOP BLVD, PULLMAN, WA, 99163-5512, UNITED STATES

Key Officers & Management

Name	Role	Address
AARON ROEPKE	Executor	530 S ASBURY ST, SUITE 2, MOSCOW, ID, 83843-2243, UNITED STATES
COREY JOHNSON	Governing Person	-
DAVID REES	Governing Person	-
CAMERON LOVINGER	Governing Person	-
CHRIS LUNDY	Governing Person	-

National Provider Identifier

NPI Number:

1023676004

Certification Date:

2020-03-04

Link:

View on NPI website

Authorized Person:

Name:

COREY D JOHNSON

Role:

PRESIDENT

Phone:

8012546316

Taxonomy:

Selected Taxonomy:

367500000X - Certified Registered Nurse Anesthetist

Is Primary:

Yes

Contacts:

Phone:

+1 801-254-6316

Form 5500 Series

Employer Identification Number (EIN):

832873261

Plan Year:

2023

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

5094323203

File:

Plan Year:

2022

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

5094323203

File:

Plan Year:

2021

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

5094323203

File:

Plan Year:

2020

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

5094323203

File:

Plan Year:

2019

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

5094323203

File:

Paycheck Protection Program

Jobs Reported:

5

Initial Approval Amount:

$104,000

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$104,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$105,228.7

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $104,000

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