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IDAHO ENDOCRINOLOGY, PLLC

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Company Details

Name: IDAHO ENDOCRINOLOGY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 28 Jun 2007 (18 years ago)
Financial Date End: 30 Jun 2015
Date dissolved: 22 Sep 2015
Entity Number: 203722
Place of Formation: IDAHO
File Number: 0000203722
ZIP code: 83702
County: Ada County
Principal Address: 403 S 11TH ST STE 100 BOISE, ID 83702

National Provider Identifier

NPI Number:
1518165984

Authorized Person:

Name:
DR. RICHARD B. CHRISTENSEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
Yes

Contacts:

Fax:
2084290305

Form 5500 Series

Employer Identification Number (EIN):
260455803
Plan Year:
2010
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
13
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0001734381 2014-06-28
Annual Report 0001734380 2013-05-26
Annual Report 0001734379 2012-07-11
Annual Report 0001734377 2011-06-19
Annual Report 0001734376 2010-05-16

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State