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  5. L. WILLIAM D. NOWIERSKI, M.D., P.A.

L. WILLIAM D. NOWIERSKI, M.D., P.A.

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Company Details

Name: L. WILLIAM D. NOWIERSKI, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 27 Sep 1984 (41 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 240849
Place of Formation: IDAHO
File Number: 240849
ZIP code: 83712
County: Ada County
Mailing Address: STE A 100 E WARM SPRINGS AVE BOISE, ID 83712-6243

Agent

Name Role Address
L WILLIAM D NOWIERSKI Agent 100 E. WARM SPRINGS AVE, STE. A, BOISE, ID 83712

Director

Name Role Address Appointed On
L. William D Nowierski Director 100 E. WARM SPRINGS AVE, BOISE, ID 83712 2020-08-03

President

Name Role Address Appointed On
L. William D Nowierski President 100 E. WARM SPRINGS AVE., BOISE, ID 83712 2023-08-08

Secretary

Name Role Address Appointed On
L. William D Nowierski Secretary 100 E. WARM SPRINGS AVE, BOISE, ID 83712 2023-08-08

National Provider Identifier

NPI Number:
1710166004
Link:
View on NPI website

Authorized Person:

Name:
DR. L. WILLIAM D NOWIERSKI
Role:
OWNER/PHYSICIAN
Phone:
2083435910

Taxonomy:

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

Contacts:

Phone:
+1 208-343-5910
Fax:
2083848562

Form 5500 Series

Employer Identification Number (EIN):
820391540
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
2083435910
File:
View File
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
2083435910
File:
View File
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:
2083435910
File:
View File
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
2083435910
File:
View File
Plan Year:
2019
Number Of Participants:
6
Sponsors Telephone Number:
2083435910
File:
View File

Filing

Filing Name Filing Number Filing date
Annual Report 0005842513 2024-08-05
Annual Report 0005357769 2023-08-08
Annual Report 0004849841 2022-08-05
Annual Report 0004368105 2021-08-03
Annual Report 0003953092 2020-08-03

USAspending Awards / Financial Assistance

Date:
2021-02-13
Link:
View on USAspending
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:
80840.00
Total Face Value Of Loan:
80840.00
Date:
2020-04-13
Link:
View on USAspending
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:
89250.00
Total Face Value Of Loan:
89250.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$89,250
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$89,250
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$90,162.06
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $89,250
Jobs Reported:
6
Initial Approval Amount:
$80,840
Date Approved:
2021-02-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$80,840
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$81,632.9
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $80,839

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Date of last update: 03 Aug 2025

Sources: Idaho Secretary of State

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