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  5. BHUPINDER SINGH BOLLA, M.D., PLLC

BHUPINDER SINGH BOLLA, M.D., PLLC

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Company Details

Name: BHUPINDER SINGH BOLLA, M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Sep 2012 (13 years ago)
Entity Number: 4291250
ZIP code: 13601
County: Jefferson
Place of Formation: New York
Address: 22036 RIVER BEND DRIVE WEST, WATERTOWN, NY, United States, 13601

Contact Details

Phone +1 315-782-7246

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 22036 RIVER BEND DRIVE WEST, WATERTOWN, NY, United States, 13601

National Provider Identifier

NPI Number:
1669002697
Certification Date:
2020-01-20
Link:
View on NPI website

Authorized Person:

Name:
BHUPINDER S BOLLA
Role:
OWNER/PROVIDER
Phone:
3157827246

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Phone:
+1 315-782-7246
Fax:
3157827247

Form 5500 Series

Employer Identification Number (EIN):
460915992
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
3157827246
File:
View File
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
3157827246
File:
View File
Plan Year:
2022
Number Of Participants:
11
Sponsors Telephone Number:
3157827246
File:
View File
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
3157827246
File:
View File
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
3157827246
File:
View File

Filings

Filing Number Date Filed Type Effective Date
121213000961 2012-12-13 CERTIFICATE OF PUBLICATION 2012-12-13
120904000641 2012-09-04 ARTICLES OF ORGANIZATION 2012-09-04

USAspending Awards / Financial Assistance

Date:
2013-01-31
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
-249000.00
Total Face Value Of Loan:
0.00
Date:
2012-12-12
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
-120000.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$141,980.25
Date Approved:
2021-02-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$141,980.25
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$142,921.6
Servicing Lender:
Community Bank, National Association
Use of Proceeds:
Payroll: $141,975.25
Utilities: $1
Jobs Reported:
8
Initial Approval Amount:
$140,769
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$140,769
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$141,841.16
Servicing Lender:
Community Bank, National Association
Use of Proceeds:
Payroll: $140,769

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Related by address

22036 RIVER BEND DRIVE WEST, WATERTOWN, NY, United States, 13601

MEDICAL WELLNESS OF NORTHERN NY PLLC

Date of last update: 26 Mar 2025

Sources: New York Secretary of State

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