SOUTH PUGET SOUND NEUROLOGY PLLC

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Company Details

Legal Name:	SOUTH PUGET SOUND NEUROLOGY PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	July 11th 2019
Expiration date:	31 Jul 2026
UBI Number:	604 448 296
ZIP code:	98409
City:	Tacoma
County:	PIERCE
Home State:	WASHINGTON
Principal Office Street Address:	5006 CENTER ST, SUITE U, TACOMA, WA, 98409-2314, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$80,194

Contact Details

E-Mail:	ADRIENNEM@PSNEUROLOGY.COM
Phone Number:	+1 253-284-4488

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
PATRICK HOGAN	Registered Agent	5006 CENTER ST STE U, TACOMA, WA, 98409-2314, UNITED STATES

Key Officers & Management

Name	Role	Address
PATRICK HOGAN	Executor	5005 CENTER ST STE U, TACOMA, WA, 98409-2347, UNITED STATES
PATRICK HOGAN	Governing Person	5005 CENTER ST STE U, TACOMA, WA, 98409-2347, UNITED STATES
ADRIENNE MCNAMARA	Governing Person	-

National Provider Identifier

NPI Number:

1194052357

Certification Date:

2023-04-19

Link:

View on NPI website

Authorized Person:

Name:

PATRICK J HOGAN III

Role:

PRESIDENT/PHYSICIAN

Phone:

2532844488

Taxonomy:

Selected Taxonomy:

2084N0400X - Neurology Physician

Is Primary:

No

Selected Taxonomy:

363L00000X - Nurse Practitioner

Is Primary:

No

Selected Taxonomy:

2084N0400X - Neurology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 253-284-4488

Fax:

2532724771

Form 5500 Series

Employer Identification Number (EIN):

264078939

Plan Year:

2023

Number Of Participants:

15

Plan Name:

401(K)

Sponsor's telephone number:

2532844488

File:

Plan Year:

2022

Number Of Participants:

11

Plan Name:

401(K)

Sponsor's telephone number:

2532844488

File:

Plan Year:

2021

Number Of Participants:

11

Plan Name:

401(K)

Sponsor's telephone number:

2532844488

File:

Plan Administrator / Signatory:

PATRICK HOGAN(Plan administrator)

Plan Year:

2019

Number Of Participants:

14

Plan Name:

401(K)

Sponsor's telephone number:

2532844488

File:

Plan Year:

2018

Number Of Participants:

14

Plan Name:

401(K)

Sponsor's telephone number:

2532844488

File:

Paycheck Protection Program

Jobs Reported:

11

Initial Approval Amount:

$174,500

Date Approved:

2020-04-10

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$174,500

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$176,694.4

Servicing Lender:

KeyBank National Association

Use of Proceeds:

Payroll: $174,500

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