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WISE PATIENT INTERNAL MEDICINE, PLLC

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Company Details

Legal Name: WISE PATIENT INTERNAL MEDICINE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 9th 2011
Expiration date: 31 Jul 2025
UBI Number: 603 127 393
ZIP code: 98112
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 613 19TH AVE E STE 201, SEATTLE, WA, 98112-4000, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,606

Contact Details

E-Mail: SAM@WISEPATIENTIM.COM
Phone Number: +1 206-466-5937

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
WISE PATIENT INTERNAL MEDICINE, PLLC Registered Agent 613 19TH AVE E STE 201, SEATTLE, WA, 98112-4000, UNITED STATES

Key Officers & Management

Name Role
SAM WARREN Governing Person

National Provider Identifier

NPI Number:
1568720126
Certification Date:
2023-06-29

Authorized Person:

Name:
DR. SAM WARREN
Role:
CEO, FOUNDER
Phone:

Taxonomy:

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

Contacts:

Fax:
2065358844

Form 5500 Series

Employer Identification Number (EIN):
453160466
Plan Year:
2023
Number Of Participants:
9
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2022
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
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