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Ambridge Chiropractic Neurology, PC

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Company Details

Name: Ambridge Chiropractic Neurology, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 18 Jan 2020 (5 years ago)
Financial Date End: 31 Jan 2026
Date dissolved: 30 Apr 2024
Entity Number: 3749667
Place of Formation: IDAHO
File Number: 695400
ZIP code: 83864
County: Bonner County
Mailing Address: STE 103 1327 W SUPERIOR ST SANDPOINT, ID 83864-2742

Agent

Name Role Address
Blake Ambridge Agent 409 CREEKSIDE LANE, SANDPOINT, ID 83864

President

Name Role Address Appointed On Resigned On
Forest B Ambridge President 1327 SUPERIOR ST, SANDPOINT, ID 83864 2021-02-08 2023-01-03
Forest Blake Ambridge President 409 CREEKSIDE LN, SANDPOINT, ID 83864 2025-03-04 No data

National Provider Identifier

NPI Number:
1194341818
Certification Date:
2020-06-18

Authorized Person:

Name:
FOREST BLAKE AMBRIDGE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006142537 2025-03-04
Application for Reinstatement 0005912705 2024-09-26
Dissolution/Revocation - Administrative 0005707333 2024-04-30
Annual Report 0005048187 2023-01-03
Annual Report 0004556736 2022-01-06

USAspending Awards / Financial Assistance

Date:
2021-05-18
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:
1227.00
Total Face Value Of Loan:
1227.00

Paycheck Protection Program

Date Approved:
2021-05-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
1227
Current Approval Amount:
1227
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
1235.18

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State