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HAMILTON WARREN-SUTTON, M.D., PLLC

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Company Details

Name: HAMILTON WARREN-SUTTON, M.D., PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 09 Sep 2010 (15 years ago)
Financial Date End: 30 Sep 2018
Date dissolved: 10 Jan 2019
Entity Number: 298239
Place of Formation: IDAHO
File Number: 298239
ZIP code: 83642
County: Ada County
Principal Address: 2463 EAST GALA MERIDIAN, ID 83642

Agent

Name Role Address
GIVENS PURSLEY CORPORATE SERVICES LLC Agent 601 W BANNOCK ST, BOISE, ID 83702

National Provider Identifier

NPI Number:
1174031736
Certification Date:
2021-04-21

Authorized Person:

Name:
CHERI PETERSON
Role:
CREDENTIALER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2083239604

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003392467 2019-01-10
Annual Report 0002218668 2017-10-02
Annual Report 0002218666 2016-10-01
Annual Report 0002218664 2015-10-27
Annual Report 0002218662 2014-10-03

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Date of last update: 19 Jul 2025

Sources: Idaho Secretary of State