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ADVANCED PAIN MANAGEMENT PLLC

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Company Details

Name: ADVANCED PAIN MANAGEMENT PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 24 Sep 2008 (17 years ago)
Financial Date End: 30 Sep 2014
Date dissolved: 16 Dec 2014
Entity Number: 243834
Place of Formation: IDAHO
File Number: 0000243834
ZIP code: 83642
County: Ada County
Principal Address: 2275 S EAGLE RD, SUITE 160 MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1114171519

Authorized Person:

Name:
MICHAEL DALE SEVERSON
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
2083672968
Fax:
2089472267

Filing

Filing Name Filing Number Filing date
Annual Report 0001911880 2013-09-10
Annual Report 0001911879 2012-07-17
Annual Report 0001911878 2011-07-15
Annual Report 0001911877 2010-10-13
Annual Report 0001911876 2009-10-09

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State