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CANFIELD FAMILY MEDICAL GROUP, LLC (THE)

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Company Details

Name: CANFIELD FAMILY MEDICAL GROUP, LLC (THE)
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 31 May 2005 (20 years ago)
Financial Date End: 31 May 2014
Date dissolved: 12 Jun 2013
Entity Number: 132026
Place of Formation: IDAHO
File Number: 0000132026
ZIP code: 83814
County: Kootenai County
Principal Address: 1110 W PARK PLACE STE 202 COEUR D ALENE, ID 83814

National Provider Identifier

NPI Number:
1407056237

Authorized Person:

Name:
JANICE ADELE LINDSTROM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2086769824

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0000734035 2013-06-12
Annual Report 0001429154 2013-05-14
Annual Report 0001429152 2012-06-13
Annual Report 0001429134 2011-03-16
Annual Report 0001429132 2010-06-14

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State