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MARC BOSTICK, MD, CHARTERED

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Company Details

Name: MARC BOSTICK, MD, CHARTERED
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 27 Jul 1999 (26 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 397147
Place of Formation: IDAHO
File Number: 397147
ZIP code: 83704
County: Ada County
Mailing Address: CINDY SEVIERI STE 101 413 N ALLUMBAUGH ST BOISE, ID 83704-9219

Agent

Name Role Address
MARC BOSTICK Agent 413 N ALLUMBAUGH STE 101, BOISE, ID 83704

President

Name Role Address Appointed On
Marc Bostick President 413 N ALLUMBAUGH STREET, BOISE, ID 83704 2021-06-03

National Provider Identifier

NPI Number:
1508034802
Certification Date:
2021-04-21

Authorized Person:

Name:
CHERI PETERSON
Role:
CREDENTIALER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2083239604

Filing

Filing Name Filing Number Filing date
Annual Report 0006295170 2025-06-03
Annual Report 0005782324 2024-06-17
Annual Report 0005346243 2023-08-03
Annual Report 0004783863 2022-06-14
Annual Report 0004301667 2021-06-03

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
20833.00
Total Face Value Of Loan:
20833.00

Paycheck Protection Program

Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
20833
Current Approval Amount:
20833
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
20966.1

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Date of last update: 04 Jun 2025

Sources: Idaho Secretary of State