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CHRISTIAN D. TVETENSTRAND, M.D., PLLC

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Company Details

Name: CHRISTIAN D. TVETENSTRAND, M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Jun 2005 (20 years ago)
Entity Number: 3223709
ZIP code: 13790
County: Broome
Place of Formation: New York
Address: 30 HARRISON STREET, SUITE 320, JOHNSON CITY, NY, United States, 13790

DOS Process Agent

Name Role Address
C/O CHRISTIAN D. TVETENSTRAND, M.D. DOS Process Agent 30 HARRISON STREET, SUITE 320, JOHNSON CITY, NY, United States, 13790

National Provider Identifier

NPI Number:
1679526669
Certification Date:
2020-11-19

Authorized Person:

Name:
CHRISTIAN DAHN TVETENSTRAND
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363AS0400X - Surgical Physician Assistant
Is Primary:
No
Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
6077638208

Form 5500 Series

Employer Identification Number (EIN):
203074616
Plan Year:
2023
Number Of Participants:
20
Sponsors DBA Name:
SOUTHERN TIER MEDICAL
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
26
Sponsors DBA Name:
SOUTHERN TIER MEDICAL
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
21
Sponsors DBA Name:
SOUTHERN TIER MEDICAL
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
26
Sponsors DBA Name:
SOUTHERN TIER MEDICAL
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
35
Sponsors DBA Name:
DBA SOUTHERN TIER MEDICAL
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
150603006413 2015-06-03 BIENNIAL STATEMENT 2015-06-01
130701002051 2013-07-01 BIENNIAL STATEMENT 2013-06-01
090618002193 2009-06-18 BIENNIAL STATEMENT 2009-06-01
070622002111 2007-06-22 BIENNIAL STATEMENT 2007-06-01
050627000513 2005-06-27 ARTICLES OF ORGANIZATION 2005-06-27

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$75,017
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$75,017
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$75,779.5
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $52,170
Utilities: $4,377
Mortgage Interest: $0
Rent: $6,680
Refinance EIDL: $0
Healthcare: $11790
Debt Interest: $0

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State