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BROOK MEDICAL PLLC
Company Details
| Name: |
BROOK MEDICAL PLLC |
| Jurisdiction: |
Idaho |
| Legal type: |
Limited Liability Company (D) |
| Status: |
Active-Existing
|
| Date of registration: |
30 Sep 2005 (20 years ago)
|
| Financial Date End: |
30 Sep 2025 |
| Entity Number: |
141861 |
| Place of Formation: |
IDAHO |
| File Number: |
141861 |
| ZIP code: |
83616
|
| County: |
Ada County |
| Principal Address: |
1281 E IRON EAGLE DR EAGLE, ID 83616 |
| Mailing Address: |
3327 N EAGLE RD # 110-116 MERIDIAN, ID 83646-6141 |
Agent
| Name |
Role |
Address |
|
VICKI L WOOLL MD
|
Agent
|
1281 E IRON EAGLE DR, EAGLE, ID 83616
|
Manager
| Name |
Role |
Address |
Appointed On |
|
Vicki Wooll
|
Manager
|
1281 E. IRON EAGLE DRIVE, EAGLE, ID 83616
|
2020-10-08
|
National Provider Identifier
Authorized Person:
Taxonomy:
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Contacts:
Form 5500 Series
Employer Identification Number (EIN):
680624385
Number Of Participants:
3
Sponsors Telephone Number:
Number Of Participants:
5
Sponsors Telephone Number:
Number Of Participants:
5
Sponsors Telephone Number:
Number Of Participants:
5
Sponsors Telephone Number:
Number Of Participants:
4
Sponsors Telephone Number:
This company hasn't received any reviews.
Date of last update: 27 May 2025
Sources:
Idaho Secretary of State
