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BACK 2 LIFE MEDICAL INC.

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Company Details

Name: BACK 2 LIFE MEDICAL INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 20 Jul 2016 (9 years ago)
Financial Date End: 31 Jul 2022
Date dissolved: 13 Oct 2022
Entity Number: 628274
Place of Formation: IDAHO
File Number: 628274
ZIP code: 83642
County: Ada County
Mailing Address: 2016 S EAGLE RD MERIDIAN, ID 83642-6707

Agent

Name Role Address
JUSTIN GRIFFIN Agent 2988 S SLATE CREEK WAY, MERIDIAN, ID 83642

President

Name Role Address Appointed On
Justin Griffin President 2988 S SLATE CREEK WAY, MERIDIAN, ID 83642 2020-08-12

National Provider Identifier

NPI Number:
1033562319

Authorized Person:

Name:
JUSTIN GRIFFIN
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2088876797

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004951617 2022-10-13
Application for Reinstatement 0004457610 2021-11-09
Dissolution/Revocation - Administrative 0004456711 2021-10-21
Annual Report 0003970352 2020-08-12
Annual Report 0003552093 2019-06-26

USAspending Awards / Financial Assistance

Date:
2021-01-28
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:
68732.00
Total Face Value Of Loan:
68732.00
Date:
2020-04-14
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:
64320.00
Total Face Value Of Loan:
64320.00

Paycheck Protection Program

Date Approved:
2021-01-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
68732
Current Approval Amount:
68732
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
69266.79
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
64320
Current Approval Amount:
64320
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
64860.99

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State