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CHUBBUCK CHIROPRACTIC, P.A.

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Company Details

Name: CHUBBUCK CHIROPRACTIC, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 27 Jan 2004 (21 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 464694
Place of Formation: IDAHO
File Number: 464694
ZIP code: 83202
County: Bannock County
Mailing Address: STE A 445 W CHUBBUCK RD CHUBBUCK, ID 83202-5069

Agent

Name Role Address
JEREMY W HALE Agent 445 W CHUBBUCK RD STE A, CHUBBUCK, ID 83202

Secretary

Name Role Address Appointed On Resigned On
NICOLE K HALE Secretary 5341 YELLOWSTONE AVE, CHUBBUCK, ID 83202 2024-01-04 2024-01-04

President

Name Role Address Appointed On
JEREMY W HALE President 445 W. CHUBBUCK RD. STE A, CHUBBUCK, ID 83202 2024-01-04

National Provider Identifier

NPI Number:
1508993189

Authorized Person:

Name:
DR. JEREMY W. HALE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006003783 2024-12-03
Annual Report 0005542481 2024-01-04
Annual Report 0003696905 2019-12-03
Application for Reinstatement 0003532121 2019-06-05
Dissolution/Revocation - Administrative 0003512500 2019-05-15

USAspending Awards / Financial Assistance

Date:
2021-03-04
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:
20400.00
Total Face Value Of Loan:
20400.00

Paycheck Protection Program

Date Approved:
2021-03-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
20400
Current Approval Amount:
20400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
20459.8
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
20400
Current Approval Amount:
20400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
20510.66

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State