WEST SOUND EMERGENCY PHYSICIANS, PLLC

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Company Details

Legal Name:	WEST SOUND EMERGENCY PHYSICIANS, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	June 22nd 2006
Expiration date:	30 Jun 2026
UBI Number:	602 625 592
ZIP code:	98383
City:	Silverdale
County:	KITSAP
Home State:	WASHINGTON
Principal Office Street Address:	1800 NW MYHRE RD, SILVERDALE, WA, 98383-7663, UNITED STATES
Principal Office Mailing Address:	PO BOX 3466, SILVERDALE, WA, 98383-3466, UNITED STATES

Contact Details

E-Mail:	SERVICECO@MPBA.COM
Phone Number:	+1 972-656-0505

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
MPBA SERVICE COMPANY LLC	Registered Agent	701 5TH AVE STE 5500, SEATTLE, WA, 98104-7096, UNITED STATES

Key Officers & Management

Name	Role	Address
MARVIN VALREY	Governing Person	2520 CHERRY AVENUE, SILVERDALE, WA, 98310, UNITED STATES
GLEN CARLSON	Governing Person	2520 CHERRY AVENUE, SILVERDALE, WA, 98310, UNITED STATES
STEPHEN MCKINNON	Governing Person	2520 CHERRY AVENUE, SILVERDALE, WA, 98310, UNITED STATES
BRIAN LANE	Governing Person	2520 CHERRY AVENUE, SILVERDALE, WA, 98310, UNITED STATES
TOMASZ PIETRUS	Governing Person	-
ROBERT AST	Governing Person	2520 CHERRY AVENUE, SILVERDALE, WA, 98310, UNITED STATES
QUYNH LE	Governing Person	-
KAELA CHIU	Governing Person	-
ANASTASSIA SULLIVAN	Governing Person	-
JEREMY TESAR	Governing Person	-

National Provider Identifier

NPI Number:

1568489243

Certification Date:

2024-10-18

Link:

View on NPI website

Authorized Person:

Name:

DR. JEREMY TESAR

Role:

PRESIDENT

Phone:

8883660869

Taxonomy:

Selected Taxonomy:

207P00000X - Emergency Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 877-346-2211

Fax:

6266231227

Phone:

+1 626-447-0296

Form 5500 Series

Employer Identification Number (EIN):

204874868

Plan Year:

2023

Number Of Participants:

33

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607446710

File:

Plan Year:

2022

Number Of Participants:

33

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607446710

File:

Plan Year:

2021

Number Of Participants:

31

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607446710

File:

Plan Year:

2020

Number Of Participants:

33

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607446710

File:

Plan Administrator / Signatory:

GILBERT ONDUSKO(Plan administrator) GILBERT ONDUSKO(Employer/plan sponsor)

Plan Year:

2019

Number Of Participants:

36

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607446710

File:

Plan Administrator / Signatory:

GILBERT ONDUSKO(Plan administrator) GILBERT ONDUSKO(Employer/plan sponsor)

Paycheck Protection Program

Jobs Reported:

25

Initial Approval Amount:

$504,592

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$723,042

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Unanswered

Forgiveness Amount:

$730,450.7

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $723,042

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