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NEONATAL ASSOCIATES, PLLC

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Company Details

Name: NEONATAL ASSOCIATES, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 22 Oct 2008 (17 years ago)
Financial Date End: 31 Oct 2013
Date dissolved: 16 Jan 2014
Entity Number: 245940
Place of Formation: IDAHO
File Number: 0000245940
ZIP code: 83406
County: Bonneville County
Principal Address: 3270 E 17TH ST #207 AMMON, ID 83406

National Provider Identifier

NPI Number:
1790939056

Authorized Person:

Name:
SHANNON JENKINS
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2080N0001X - Neonatal-Perinatal Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0001922992 2012-09-10
Annual Report 0001922990 2011-12-06
Annual Report 0001922989 2010-11-21
Annual Report 0001922988 2009-08-12
Statement of Change of Business Mailing Address 0001922991 2008-11-18

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State