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TREASURE VALLEY SPINE & SPORTS CENTER, PLLC

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Company Details

Name: TREASURE VALLEY SPINE & SPORTS CENTER, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 01 Sep 2005 (20 years ago)
Financial Date End: 30 Sep 2010
Date dissolved: 19 Aug 2010
Entity Number: 139583
Place of Formation: IDAHO
File Number: 0000139583
ZIP code: 83709
County: Ada County
Principal Address: 3701 S CREEKWOOD WY BOISE, ID 83709

National Provider Identifier

NPI Number:
1245243096

Authorized Person:

Name:
DR. STEPHEN KYLE BURTENSHAW
Role:
OWNER/CHIROPRACTIC PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2086720200

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0000740890 2010-08-19
Annual Report 0001459115 2009-09-21
Annual Report 0001459117 2008-07-15
Annual Report 0001459116 2007-07-16
Annual Report 0001459114 2006-12-05

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State