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WIND RIVER PAIN MANAGEMENT, PLLC

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Company Details

Name: WIND RIVER PAIN MANAGEMENT, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 20 Apr 2010 (15 years ago)
Financial Date End: 30 Apr 2022
Date dissolved: 09 Jul 2022
Entity Number: 287211
Place of Formation: IDAHO
File Number: 287211
ZIP code: 83404
County: Bonneville County
Principal Address: 1975 MARTHA AVENUE SUITE B IDAHO FALLS, ID 83404
Mailing Address: 5556 S 45TH E STEVEN V KLIPPERT, MD Apo (Us)

Agent

Name Role Address
STEVEN V KLIPPERT MD Agent 5556 S 45TH E, STEVEN V KLIPPERT, MD, IDAHO FALLS, ID 83406-8019

Manager

Name Role Address Appointed On
Steven V. Klippert MD Manager 5556 S 45TH E, IDAHO FALLS, ID 83406-8019 2021-03-05

National Provider Identifier

NPI Number:
1669785192

Authorized Person:

Name:
DR. STEVEN V KLIPPERT
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2085293915

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004810847 2022-07-09
Annual Report 0004199767 2021-03-05
Change of Registered Office/Agent/Both (by Entity) 0003878850 2020-05-18
Statement of Change of Business Mailing Address 0003878826 2020-05-18
Annual Report 0003879029 2020-05-18

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Date of last update: 27 Jun 2025

Sources: Idaho Secretary of State