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WILLIAM WILSON, M.D., P.C.

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Company Details

Name: WILLIAM WILSON, M.D., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 08 Jan 1997 (29 years ago)
Financial Date End: 31 Jan 2022
Date dissolved: 19 Apr 2022
Entity Number: 361877
Place of Formation: IDAHO
File Number: 361877
ZIP code: 83404
County: Bonneville County
Mailing Address: STE 112 2860 CHANNING WAY IDAHO FALLS, ID 83404-7532

Agent

Name Role Address
WILLIAM WILSON Agent 2860 CHANNING WAY, STE 112, IDAHO FALLS, ID 83404-7532

Director

Name Role Address Appointed On
CARYL R WILSON Director 2860 CHANNING WAY, IDAHO FALLS, ID 83404 2020-12-03

National Provider Identifier

NPI Number:
1457732000

Authorized Person:

Name:
DR. WILLIAM P WILSON III
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2082S0105X - Surgery of the Hand (Plastic Surgery) Physician
Is Primary:
Yes

Contacts:

Fax:
2085236477

Form 5500 Series

Employer Identification Number (EIN):
841377159
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
4
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004704086 2022-04-19
Annual Report 0004084048 2020-12-03
Annual Report 0003704879 2019-12-10
Application for Reinstatement 0003583816 2019-07-31
Dissolution/Revocation - Administrative 0003512410 2019-05-15

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$45,900
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$45,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$46,380.38
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $45,900

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Date of last update: 06 Aug 2025

Sources: Idaho Secretary of State