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SPINEIDAHO, PLLC

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Company Details

Name: SPINEIDAHO, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 29 Feb 2008 (17 years ago)
Financial Date End: 28 Feb 2017
Date dissolved: 04 Aug 2016
Entity Number: 225945
Place of Formation: IDAHO
File Number: 0000225945
ZIP code: 83201
County: Bannock County
Principal Address: 2240 E CENTER ST POCATELLO, ID 83201

National Provider Identifier

NPI Number:
1699940346

Authorized Person:

Name:
DR. WILLIAM SCOTT HUNEYCUTT
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2082336983

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0000808111 2016-08-04
Annual Report 0001828240 2015-12-22
Annual Report 0001828239 2015-01-05
Annual Report 0001828238 2014-01-08
Statement of Change of Business Mailing Address 0001828237 2013-11-12

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State