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WALKER SPINE AND SPORTS SPECIALISTS PLLC

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Company Details

Name: WALKER SPINE AND SPORTS SPECIALISTS PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 10 Nov 2003 (22 years ago)
Financial Date End: 30 Nov 2022
Date dissolved: 08 Feb 2023
Entity Number: 93619
Place of Formation: IDAHO
File Number: 93619
ZIP code: 83404
County: Bonneville County
Principal Address: 2319 CORONADO ST IDAHO FALLS, ID 83404
Mailing Address: 2319 CORONADO ST IDAHO FALLS, ID 83404-7407

Agent

Name Role Address
GARY C WALKER Agent 2319 CORONADO, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
Gary C Walker Manager 2319 CORONADO, IDAHO FALLS, ID 83404 2020-11-05

National Provider Identifier

NPI Number:
1790872109

Authorized Person:

Name:
GARY C WALKER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
204C00000X - Sports Medicine (Neuromusculoskeletal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
2082271212

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005101495 2023-02-08
Annual Report 0004437723 2021-10-05
Annual Report 0004059292 2020-11-05
Application for Reinstatement 0003844127 2020-04-13
Dissolution/Revocation - Administrative 0003772490 2020-02-06

USAspending Awards / Financial Assistance

Date:
2020-04-11
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:
36300.00
Total Face Value Of Loan:
36200.00

Paycheck Protection Program

Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
36300
Current Approval Amount:
36200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
36457.86

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Date of last update: 24 Jun 2025

Sources: Idaho Secretary of State