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IDAHO SLEEP AND NEUROLOGY, PLLC

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Company Details

Name: IDAHO SLEEP AND NEUROLOGY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 20 Jan 2006 (19 years ago)
Financial Date End: 31 Jan 2017
Date dissolved: 30 Mar 2017
Entity Number: 151388
Place of Formation: IDAHO
File Number: 0000151388
ZIP code: 83605
County: Canyon County
Principal Address: 1825 S KIMBALL AVE CALDWELL, ID 83605

National Provider Identifier

NPI Number:
1902220411

Authorized Person:

Name:
WADE S HARRIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
2084026635

Form 5500 Series

Employer Identification Number (EIN):
204040088
Plan Year:
2016
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
4
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0000751755 2017-03-30
Legacy Amendment 0001509078 2017-02-02
Annual Report 0001509077 2016-03-02
Annual Report 0001509076 2014-11-19
Statement of Change of Business Mailing Address 0001509075 2014-10-02

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State