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WEST OLYMPIA INTERNAL MEDICINE PLLC

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Company Details

Legal Name: WEST OLYMPIA INTERNAL MEDICINE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 7th 2001
Expiration date: 31 Aug 2025
UBI Number: 602 140 313
ZIP code: 98502
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 110 DELPHI RD NW STE 101, OLYMPIA, WA, 98502-1778, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 110 DELPHI RD NW, SUITE 101, OLYMPIA, WA, 98502, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $43,681

Contact Details

E-Mail: J.KLEIN@KLEINCCRC.COM
Phone Number: +1 360-786-0692

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
BEAN, GENTRY, WHEELER & PETERNELL, PLLC Registered Agent 910 LAKERIDGE WAY SW, OLYMPIA, WA, 98502-0000, UNITED STATES

Key Officers & Management

Name Role
ERIC KLEIN Governing Person
JEANETTE KLEIN Governing Person

National Provider Identifier

NPI Number:
1699838540

Authorized Person:

Name:
DR. ERIC J KLEIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3603522909

Form 5500 Series

Employer Identification Number (EIN):
912147052
Plan Year:
2023
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2022
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2021
Number Of Participants:
7
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2020
Number Of Participants:
7
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2019
Number Of Participants:
7
Plan Name:
401(K)
Sponsor's telephone number:

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$109,992
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$109,992
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$110,941.25
Servicing Lender:
Heritage Bank
Use of Proceeds:
Payroll: $109,992
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