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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

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

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

Commercial and government entity program

CAGE number:
9UEQ1
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-13
CAGE Expiration:
2029-03-19
SAM Expiration:
2025-03-13

Contact Information

POC:
ERIC T. WATSON
Corporate URL:
https://watsonfm.com/

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