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GRAND TETON CHIROPRACTIC, P.C.

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Company Details

Name: GRAND TETON CHIROPRACTIC, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 22 Mar 2006 (19 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 502979
Place of Formation: IDAHO
File Number: 502979
ZIP code: 83404
County: Bonneville County
Mailing Address: 1220 E 17TH ST IDAHO FALLS, ID 83404-6147

Agent

Name Role Address
JAMES C GARDNER DC Agent 4317 AMBER LANE, IDAHO FALLS, ID 83406

President

Name Role Address Appointed On
JAMES C. GARDNER President 4317 AMBER LANE, IDAHO FALLS, ID 83406 2022-09-12

Secretary

Name Role Address Appointed On Resigned On
GretylAnn Gardner Secretary 4317 AMBER LANE, AMMON, ID 83406 2024-02-06 2024-02-06

National Provider Identifier

NPI Number:
1679519193

Authorized Person:

Name:
DR. JAMES C. GARDNER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2085529447

Filing

Filing Name Filing Number Filing date
Annual Report 0006096453 2025-02-04
Annual Report 0005588091 2024-02-06
Annual Report 0005135034 2023-03-03
Articles of Amendment 0004911057 2022-09-12
Annual Report 0003796151 2020-03-03

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
26800.00
Total Face Value Of Loan:
26800.00
Date:
2013-05-10
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:
103000.00
Total Face Value Of Loan:
103000.00

Paycheck Protection Program

Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
26800
Current Approval Amount:
26800
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
26996.78

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Date of last update: 06 Jun 2025

Sources: Idaho Secretary of State