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EAGLE INTERNAL MEDICINE, PLLC

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Company Details

Name: EAGLE INTERNAL MEDICINE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 18 Feb 2009 (16 years ago)
Financial Date End: 29 Feb 2012
Date dissolved: 09 May 2012
Entity Number: 254624
Place of Formation: IDAHO
File Number: 0000254624
ZIP code: 83702
County: Ada County
Principal Address: 1101 W RIVER ST STE 100 BOISE, ID 83702

National Provider Identifier

NPI Number:
1609004597

Authorized Person:

Name:
DR. MICHAEL A PATMAS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2089380918

Filing

Filing Name Filing Number Filing date
Annual Report 0001969193 2010-12-22
Annual Report 0001969191 2009-12-17
Initial Filing 0000254624 2009-02-18

USAspending Awards / Financial Assistance

Date:
2009-07-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
123300.00
Total Face Value Of Loan:
123300.00

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State