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GREENWALD NEUROSURGICAL, P.C.

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Company Details

Name: GREENWALD NEUROSURGICAL, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 08 Jan 2001 (25 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 418556
Place of Formation: IDAHO
File Number: 418556
ZIP code: 83404
County: Bonneville County
Mailing Address: STE B 3155 CHANNING WAY IDAHO FALLS, ID 83404-7875

Agent

Name Role Address
BRENT GREENWALD Agent 3155 CHANNING WAY SUITE B, IDAHO FALLS, ID 83404

President

Name Role Address Appointed On
BRENT GREENWALD President 3155 CHANNING WAY, IDAHO FALLS, ID 83404 2020-12-18

National Provider Identifier

NPI Number:
1528127057

Authorized Person:

Name:
MS. JANEENE ANNE DITMORE
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2085354807

Filing

Filing Name Filing Number Filing date
Annual Report 0006001047 2024-12-03
Annual Report 0005496670 2023-12-04
Annual Report 0005011682 2022-12-05
Annual Report 0004513601 2021-12-03
Annual Report 0004103569 2020-12-18

USAspending Awards / Financial Assistance

Date:
2009-02-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
239000.00
Total Face Value Of Loan:
239000.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$96,800
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$96,800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$97,831.65
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $96,800

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Date of last update: 30 Jun 2025

Sources: Idaho Secretary of State