DR. WATSON CONCIERGE MEDICINE, PLLC

Business Information

URL	https://watsonfm.com/
Congressional District	02
State/Country of Incorporation	KY, USA
Activation Date	2024-03-19
Initial Registration Date	2024-02-21
Entity Start Date	2021-10-19
Fiscal Year End Close Date	Dec 31

Service Classifications

NAICS Codes

339112, 339113, 621111, 621399, 621498, 621610

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	ERIC T WATSON
Role	MANAGER
Address	220 KEYSTONE COURT, ELIZABETHTOWN, KY, 42701, USA

Government Business
Title	PRIMARY POC
Name	ERIC T WATSON
Role	MANAGER
Address	220 KEYSTONE COURT, ELIZABETHTOWN, KY, 42701, USA

Past Performance	Information not Available

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2022-06-01
Business code	621491
Sponsor’s telephone number	8593517660
Plan sponsor’s address	584 WESTPORT RD, STE 102, ELIZABETHTOWN, KY, 42701

Plan administrator’s name and address

Administrator’s EIN	846429706
Plan administrator’s name	SHAWNA BURTON
Plan administrator’s address	464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number	5026954700

Signature of

Role	Plan administrator
Date	2023-12-27
Name of individual signing	SHAWNA BURTON
Valid signature	Filed with authorized/valid electronic signature