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PEINE OSTEOPATHIC MEDICINE, PLLC

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Company Details

Name: PEINE OSTEOPATHIC MEDICINE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Oct 2005 (20 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 144036
Place of Formation: IDAHO
File Number: 144036
ZIP code: 83616
County: Ada County
Principal Address: 507 S FITNESS PLACE SUITE 110 EAGLE, ID 83616
Mailing Address: STE 101 2717 W BANNOCK ST BOISE, ID 83702-4724

Agent

Name Role Address
CHRISTOPHER C PEINE DO Agent 2717 W BANNOCK STREET, SUITE 101, BOISE, ID 83702

Manager

Name Role Address Appointed On
Christopher C Peine Manager 2717 W BANNOCK ST, BOISE, ID 83702-4759 2020-10-05

National Provider Identifier

NPI Number:
1306010046

Authorized Person:

Name:
DR. CHRISTOPHER C PEINE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2089470926

Filing

Filing Name Filing Number Filing date
Annual Report 0005896282 2024-09-10
Statement of Change of Business Mailing Address 0005385533 2023-09-06
Annual Report 0005385607 2023-09-06
Annual Report 0004923346 2022-09-23
Annual Report 0004474809 2021-11-01

USAspending Awards / Financial Assistance

Date:
2020-04-11
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:
54952.50
Total Face Value Of Loan:
54952.50

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$54,952.5
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$54,952.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$55,520.09
Servicing Lender:
First Interstate Bank
Use of Proceeds:
Payroll: $54,952.5

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Date of last update: 15 Jul 2025

Sources: Idaho Secretary of State