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WILLIS FAMILY CHIROPRACTIC, L.L.C.

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Company Details

Name: WILLIS FAMILY CHIROPRACTIC, L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 21 Feb 2008 (17 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 225133
Place of Formation: IDAHO
File Number: 225133
ZIP code: 83704
County: Ada County
Principal Address: 10451 GARVERDALE CT STE 201 BOISE, ID 83704
Mailing Address: Willis Family Chiropractic STE 175 1570 E HERITAGE PARK ST MERIDIAN, ID 83646-6445

Member

Name Role Address Appointed On Resigned On
NICOLE WILLIS Member 1570 E HERITAGE PARK ST, MERIDIAN, ID 83646-6445 2024-01-03 2024-01-03
CHAD WILLIS Member 1570 E HERITAGE PARK ST, MERIDIAN, ID 83646 2021-01-07 No data

Agent

Name Role Address
CHAD WILLIS Agent 1570 E HERITAGE PARK ST, STE 175, WILLIS FAMILY CHIROPRACTIC, MERIDIAN, ID 83646-6445

National Provider Identifier

NPI Number:
1114191137

Authorized Person:

Name:
DR. NICOLE WILLIS
Role:
CHIROPRACTOR, OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2083224115

Filing

Filing Name Filing Number Filing date
Annual Report 0006046330 2025-01-03
Annual Report 0005539949 2024-01-03
Annual Report 0005052299 2023-01-04
Annual Report 0004547687 2022-01-03
Annual Report 0004120947 2021-01-07

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$24,413.95
Date Approved:
2021-04-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$24,413.95
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$24,601.24
Servicing Lender:
Capital Educators FCU
Use of Proceeds:
Payroll: $24,411.95
Utilities: $1

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Date of last update: 03 Aug 2025

Sources: Idaho Secretary of State