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JOSEPH W. IPPOLITO JR. M.D., P.L.L.C.

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Company Details

Name: JOSEPH W. IPPOLITO JR. M.D., P.L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 29 Nov 2001 (24 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 65553
Place of Formation: IDAHO
File Number: 65553
Principal Address: PO BOX 1596 TWIN FALLS, ID 83303
Mailing Address: PO BOX 1596 TWIN FALLS, ID 83303-1596

Agent

Name Role Address
JOSEPH W IPPOLITO JR Agent 526 SHOUP AVE WEST, SUITE F, TWIN FALLS, ID 83301

Member

Name Role Address Appointed On Resigned On
karen ippolito Member PO BOX 1596, TWIN FALLS, ID 83303 2023-10-31 2023-10-31

Manager

Name Role Address Appointed On
joseph ippolito Manager PO BOX 1596, TWIN FALLS, ID 83303-1596 2020-11-24

National Provider Identifier

NPI Number:
1154561116

Authorized Person:

Name:
DR. JOSEPH W IPPOLITO JR.
Role:
MEDICAL DOCTOR/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
305R00000X - Preferred Provider Organization
Is Primary:
Yes

Contacts:

Fax:
2087359537

Filing

Filing Name Filing Number Filing date
Annual Report 0005971465 2024-11-07
Annual Report 0005453450 2023-10-31
Annual Report 0005002146 2022-11-28
Annual Report 0004473732 2021-10-31
Annual Report 0004074407 2020-11-24

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$20,100
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$20,276.77
Servicing Lender:
First Federal Savings Bank of Twin Falls
Use of Proceeds:
Payroll: $20,100

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Date of last update: 30 Jul 2025

Sources: Idaho Secretary of State