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BRYANT BELNAP, P.A.

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Company Details

Name: BRYANT BELNAP, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 19 Oct 1987 (38 years ago)
Financial Date End: 31 Oct 2023
Date dissolved: 10 Jan 2024
Entity Number: 264921
Place of Formation: IDAHO
File Number: 264921
ZIP code: 83401
County: Bonneville County
Mailing Address: 6434 BOBWHITE DR AMMON, ID 83401-6071

Agent

Name Role Address
BRYANT BELNAP Agent 6434 BOBWHITE DR, IDAHO FALLS, ID 83401

Secretary

Name Role Address Appointed On
glenda belnap Secretary 6434 BOBWHITE DRIVE, AMMON, ID 83401 2020-11-04

National Provider Identifier

NPI Number:
1003080813

Authorized Person:

Name:
SHANNON SCROGHAM
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
1208522613

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005556550 2024-01-10
Annual Report 0004053103 2020-11-04
Application for Reinstatement 0003773593 2020-02-06
Dissolution/Revocation - Administrative 0003721928 2019-12-30
Application for Reinstatement 0003469346 2019-04-02

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Date of last update: 27 Jun 2025

Sources: Idaho Secretary of State