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MICHAEL E. ESTESS, M.D., CHARTERED

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Company Details

Name: MICHAEL E. ESTESS, M.D., CHARTERED
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 27 Feb 1976 (49 years ago)
Financial Date End: 28 Feb 2009
Date dissolved: 06 May 2009
Entity Number: 170444
Place of Formation: IDAHO
File Number: 0000170444
ZIP code: 83702
County: Ada County
Mailing Address: 1471 SHORELINE DR STE 119 BOISE, ID 83702

National Provider Identifier

NPI Number:
1558585455

Authorized Person:

Name:
DR. MICHAEL E. ESTESS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
305R00000X - Preferred Provider Organization
Is Primary:
Yes

Contacts:

Fax:
2083456504

Filing

Filing Name Filing Number Filing date
Annual Report 0001593581 2008-02-19
Annual Report 0001593562 2006-12-22
Annual Report 0001593561 2006-01-31
Annual Report 0001593560 2005-01-04
Annual Report 0001593556 2004-03-01

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State