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HAYDEN LAKE CHIROPRACTIC, P.A.

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Company Details

Name: HAYDEN LAKE CHIROPRACTIC, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 22 Mar 1995 (30 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 338566
Place of Formation: IDAHO
File Number: 338566
ZIP code: 83835
County: Kootenai County
Mailing Address: 8235 N CORNERSTONE DR HAYDEN, ID 83835-8683

Agent

Name Role Address
KEVIN R MARSH Agent 8235 N CORNERSTONE DR, HAYDEN, ID 83835

President

Name Role Address Appointed On
KEVIN R MARSH President 8235 N CORNERSTONE DR., HAYDEN LAKE, ID 83835 2021-02-04

Secretary

Name Role Address Appointed On Resigned On
JENNIFER L MARSH Secretary 8235 N CORNERSTONE DR., HAYDEN LAKE, ID 83835 2024-03-05 2024-03-05

Director

Name Role Address Appointed On Resigned On
KEVIN R MARSH Director 9297 E GOVERNMENT WAY STE D, HAYDEN LAKE, ID 83835 2024-03-05 2024-03-05

National Provider Identifier

NPI Number:
1417370511

Authorized Person:

Name:
DR. KEVIN ROBERT MARSH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2087625362

Filing

Filing Name Filing Number Filing date
Annual Report 0006129340 2025-02-26
Annual Report 0005634543 2024-03-05
Annual Report 0005094132 2023-02-03
Annual Report 0004595669 2022-02-04
Annual Report 0004165012 2021-02-04

Paycheck Protection Program

Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
14900
Current Approval Amount:
14900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
14991.44

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Date of last update: 28 Jun 2025

Sources: Idaho Secretary of State