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WESTOVER ANESTHESIA PLLC

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Company Details

Name: WESTOVER ANESTHESIA PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Oct 2010 (15 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 301331
Place of Formation: IDAHO
File Number: 301331
ZIP code: 83672
County: Washington County
Principal Address: 1519 COVE RD WEISER, ID 83672
Mailing Address: 1519 COVE RD WEISER, ID 83672-5827

Agent

Name Role Address
SHAD WESTOVER Agent 1519 COVE RD, WEISER, ID 83672

Manager

Name Role Address Appointed On
Shad B Westover Manager 1519 COVE RD, WEISER, ID 83672 2020-11-08

National Provider Identifier

NPI Number:
1720335201

Authorized Person:

Name:
SHAD B WESTOVER
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2085232025

Filing

Filing Name Filing Number Filing date
Annual Report 0005965047 2024-11-05
Annual Report 0005382466 2023-09-05
Annual Report 0004883495 2022-09-05
Annual Report 0004404263 2021-09-04
Annual Report 0004062532 2020-11-08

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Date of last update: 01 Jun 2025

Sources: Idaho Secretary of State