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NORTH IDAHO WORKER CARE, PLLC

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Company Details

Name: NORTH IDAHO WORKER CARE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 09 Feb 2007 (18 years ago)
Financial Date End: 28 Feb 2009
Date dissolved: 06 May 2009
Entity Number: 188539
Place of Formation: IDAHO
File Number: 0000188539
ZIP code: 83854
County: Kootenai County
Principal Address: 927 E POLSTON AVE #303 POST FALLS, ID 83854

National Provider Identifier

NPI Number:
1487780037

Authorized Person:

Name:
MRS. SHANNON K HARRIS
Role:
BUSINESS DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
2086642793
Fax:
2087770717

Filing

Filing Name Filing Number Filing date
Annual Report 0001669334 2008-01-22
Initial Filing 0000188539 2007-02-09

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State