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DR. WATSON CONCIERGE MEDICINE, PLLC

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Company Details

Name: DR. WATSON CONCIERGE MEDICINE, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 19 Oct 2021 (4 years ago)
Organization Date: 19 Oct 2021 (4 years ago)
Last Annual Report: 07 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 1173416
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42701
City: Elizabethtown, E Town
Primary County: Hardin County
Principal Office: 220 Keystone Ct, Elizabethtown, KY 42701
Place of Formation: KENTUCKY

Registered Agent

Name Role
Andrea Watson LLC Registered Agent
ANDREA WATSON Registered Agent

Member

Name Role
ERIC WATSON Member

Organizer

Name Role
ANDREA WATSON Organizer

U.S. Small Business Administration Profile

The U.S. Small Business Administration (SBA) helps Americans start, grow, and build resilient businesses.

Note: SBA was created in 1953 as an independent agency of the federal government to aid, counsel, assist and protect the interests of small business concerns; preserve free competitive enterprise; and maintain and strengthen the overall economy of our nation. SBA reviews Congressional and testifies on behalf of small businesses. It assesses the impact of regulatory burden on small businesses.

Phone Number:
Contact Person:
ERIC WATSON
Ownership and Self-Certifications:
Black American, Other Minority Owned, Self-Certified Small Disadvantaged Business, Women-Owned Small Business, Woman Owned
User ID:
P3249241

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
U6CVHT95JJW1
CAGE Code:
9UEQ1
UEI Expiration Date:
2025-03-13

Business Information

Activation Date:
2024-03-19
Initial Registration Date:
2024-02-21

National Provider Identifier

NPI Number:
1396497137
Certification Date:
2022-01-21

Authorized Person:

Name:
ANDREA T WATSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
873162587
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Name File Date
Reinstatement Certificate of Existence 2024-03-07
Reinstatement 2024-03-07
Administrative Dissolution 2023-10-04
Amendment 2022-06-09
Annual Report 2022-06-09

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Sources: Kentucky Secretary of State