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GENE D. BRANUM, P.C.

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Company Details

Name: GENE D. BRANUM, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 13 Nov 2017 (8 years ago)
Financial Date End: 30 Nov 2023
Date dissolved: 01 Mar 2024
Entity Number: 633259
Place of Formation: IDAHO
File Number: 633259
ZIP code: 83340
County: Blaine County
Mailing Address: PO BOX 3778 KETCHUM, ID 83340-3721

Agent

Name Role Address
MICHAEL F DONOVAN Agent 460 SUN VALLEY ROAD, KETCHUM, ID 83340

National Provider Identifier

NPI Number:
1164937496
Certification Date:
2020-06-05

Authorized Person:

Name:
GENE DALE BRANUM
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2087264817

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005620959 2024-03-01
Annual Report 0003666590 2019-11-04
Application for Reinstatement 0003530326 2019-06-03
Dissolution/Revocation - Administrative 0003443838 2019-03-05
Initial Filing 0000633259 2017-11-13

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$55,790.62
Date Approved:
2021-03-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$55,790.62
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$56,317.96
Servicing Lender:
Glacier Bank
Use of Proceeds:
Payroll: $55,790.62
Jobs Reported:
3
Initial Approval Amount:
$51,550.7
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$51,550.7
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$52,012.54
Servicing Lender:
Glacier Bank
Use of Proceeds:
Payroll: $51,550.7

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Date of last update: 15 Aug 2025

Sources: Idaho Secretary of State