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ADA DERMATOLOGY, P.A.
Company Details
| Name: |
ADA DERMATOLOGY, P.A. |
| Jurisdiction: |
Idaho |
| Legal type: |
Professional Service Corporation (D) |
| Status: |
Active-Good Standing
|
| Date of registration: |
30 Dec 1999 (26 years ago)
|
| Financial Date End: |
31 Dec 2025 |
| Entity Number: |
402948 |
| Place of Formation: |
IDAHO |
| File Number: |
402948 |
| ZIP code: |
83704
|
| County: |
Ada County |
| Mailing Address: |
MICHELLE MORGAN 6454 W EMERALD ST BOISE, ID 83704-8734 |
President
| Name |
Role |
Address |
Appointed On |
|
Richard Blickenstaff
|
President
|
1304 W STAFFORD DR, EAGLE, ID 83616
|
2020-11-17
|
|
Nicholas Blickenstaff
|
President
|
6454 W EMERALD STREET, BOISE, ID 83704
|
2024-12-03
|
Vice President
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
Nicholas Blickenstaff
|
Vice President
|
6454 W EMERALD STREET, BOISE, ID 83704
|
2023-11-06
|
2023-11-06
|
Agent
| Name |
Role |
Address |
|
Nicholas R Blickenstaff
|
Agent
|
6454 W EMERALD STREET, BOISE, ID 83704
|
National Provider Identifier
Authorized Person:
Name:
DR. RICHARD DALE BLICKENSTAFF
Taxonomy:
Selected Taxonomy:
207NS0135X - Procedural Dermatology Physician
Contacts:
Form 5500 Series
Employer Identification Number (EIN):
820518425
Number Of Participants:
13
Sponsors Telephone Number:
Number Of Participants:
10
Sponsors Telephone Number:
Number Of Participants:
7
Sponsors Telephone Number:
Number Of Participants:
8
Sponsors Telephone Number:
Number Of Participants:
8
USAspending Awards / Financial Assistance
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Face Value Of Loan:
135375.00
Total Face Value Of Loan:
135375.00
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Face Value Of Loan:
173900.00
Total Face Value Of Loan:
100700.00
Paycheck Protection Program
Initial Approval Amount:
$135,375
Date Approved:
2021-01-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$135,375
Ethnicity:
Unknown/NotStated
Forgiveness Amount:
$136,116.78
Servicing Lender:
Idaho First Bank
Use of Proceeds:
Payroll: $135,373
Utilities: $1
Initial Approval Amount:
$173,900
Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$100,700
Ethnicity:
Unknown/NotStated
Forgiveness Amount:
$101,395.24
Servicing Lender:
Idaho First Bank
Use of Proceeds:
Payroll: $100,700
This company hasn't received any reviews.
Date of last update: 21 Jul 2025
Sources:
Idaho Secretary of State
