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Diane Goetz Family Practice PLLC

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Company Details

Name: Diane Goetz Family Practice PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 28 Aug 2020 (5 years ago)
Organization Date: 28 Aug 2020 (5 years ago)
Last Annual Report: 05 Mar 2025 (3 months ago)
Managed By: Members
Organization Number: 1110628
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
Principal Office: 3000 ALVEY PARK DRIVE WEST, SUITE D, 3000 ALVEY PARK DRIVE WEST, SUITE D, OWENSBORO, OWENSBORO, KY 42303
Place of Formation: KENTUCKY

Member

Name Role
Diane Michelle Goetz Member

Registered Agent

Name Role
Nicholas Goetz Registered Agent

Organizer

Name Role
Nicholas Goetz Organizer

National Provider Identifier

NPI Number:
1750995643
Certification Date:
2023-10-16

Authorized Person:

Name:
DIANE GOETZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
852752877
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
0
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2025-03-05
Annual Report 2024-03-26
Annual Report 2023-03-21
Annual Report 2022-03-08
Principal Office Address Change 2021-03-31

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Financial Incentive

Program Program Status Average Hourly Wage Project Cost Incentive Amount Initial Jobs New Jobs Date of Action Approval Type
KSBTC - Kentucky Small Business Tax Credit Inactive 17.00 $7,079 $7,000 1 2 2022-04-28 Final

Sources: Kentucky Secretary of State