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MARK E. HINKSON DERMATOLOGY, PA

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Company Details

Name: MARK E. HINKSON DERMATOLOGY, PA
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 13 May 2004 (21 years ago)
Financial Date End: 31 May 2026
Entity Number: 470104
Place of Formation: IDAHO
File Number: 470104
ZIP code: 83404
County: Bonneville County
Mailing Address: 3425 MERLIN DR IDAHO FALLS, ID 83404-7430

Agent

Name Role Address
MARK HINKSON Agent 791 W 66 S, IDAHO FALLS, ID 83402

Vice President

Name Role Address Appointed On Resigned On
Lecia Danielle Hinkson Vice President 791 W 66TH S, IDAHO FALLS, ID 83402 2024-04-09 2024-04-09

President

Name Role Address Appointed On
MARK E HINKSON President 3425 S MERLIN DR STE 200, IDAHO FALLS, ID 83404 2021-04-08

National Provider Identifier

NPI Number:
1437210994

Authorized Person:

Name:
DR. MARK ELDON HINKSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
2085286676

Filing

Filing Name Filing Number Filing date
Annual Report 0006184261 2025-04-03
Annual Report 0005685751 2024-04-09
Annual Report 0005178434 2023-04-03
Annual Report 0004686717 2022-04-04
Annual Report 0004242238 2021-04-08

USAspending Awards / Financial Assistance

Date:
2020-04-16
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:
102900.00
Total Face Value Of Loan:
102900.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
102900
Current Approval Amount:
102900
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
103855.7

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Date of last update: 11 May 2025

Sources: Idaho Secretary of State