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SPENCER D. GREENDYKE, MD, PLLC

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Company Details

Name: SPENCER D. GREENDYKE, MD, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 24 Mar 2005 (20 years ago)
Financial Date End: 31 Mar 2024
Date dissolved: 12 Jun 2024
Entity Number: 126309
Place of Formation: IDAHO
File Number: 126309
ZIP code: 83814
County: Kootenai County
Principal Address: 3318 N GRAND MILL LANE COEUR D ALENE, ID 83814
Mailing Address: 3318 N GRAND MILL LN COEUR D ALENE, ID 83814-5689

Agent

Name Role Address
Amanda Anderson Agent 3318 N GRAND MILL LN, COEUR D'ALENE, ID 83814

Member

Name Role Address Appointed On
Spencer D Greendyke Member 3318 N GRAND MILL LN, COEUR D ALENE, ID 83814 2021-02-19

National Provider Identifier

NPI Number:
1558468439

Authorized Person:

Name:
SPENCER D GREENDYKE
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2082771065

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005774724 2024-06-12
Annual Report 0005133758 2023-03-03
Annual Report 0004603314 2022-02-10
Application for Reinstatement 0004178526 2021-02-19
Annual Report 0001404085 2017-01-20

USAspending Awards / Financial Assistance

Date:
2021-03-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
60606.00
Total Face Value Of Loan:
60606.00
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
59776.15
Total Face Value Of Loan:
59776.15

Paycheck Protection Program

Date Approved:
2021-03-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
60606
Current Approval Amount:
60606
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
60967.98
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
59776.15
Current Approval Amount:
59776.15
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
60288.75

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Date of last update: 03 May 2025

Sources: Idaho Secretary of State