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| Company Name: | BROCKWAY FAMILY PRACTICE, LLC |
| Employer identification number (EIN): | 862088800 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
The following addresses have been detected on the 401k submissions:
| USA Location Address | |||||
|---|---|---|---|---|---|
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| Date first seen: 2009-01-01 | |||||
| Date last seen: 2024-06-30 | |||||
| Date | Description |
|---|---|
| 2024-06-05 | 862088800 Change of name detected from JAMES E. DEVLIN, M.D. to BROCKWAY FAMILY PRACTICE, LLC |
| 2024-06-05 | 862088800 Change of plan name detected from JAMES E. DEVLIN, M.D. PROFIT SHARING PLAN to BROCKWAY FAMILY PRACTICE, LLC PROFIT SHARING PLAN for plan ID 001 |
| Plan id# | Plan Name | Plan Start Date | Plan Effective Date |
|---|---|---|---|
| 001 | BROCKWAY FAMILY PRACTICE, LLC PROFIT SHARING PLAN | 2023-01-01 | 1989-01-01 |
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