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QUALITY SLEEP ANESTHESIA

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Company Details

Name: QUALITY SLEEP ANESTHESIA
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Inactive-Cancelled
Date of registration: 05 Jul 2006 (19 years ago)
Date dissolved: 10 Aug 2021
Entity Number: 313831
Place of Formation: IDAHO
File Number: 0000313831
ZIP code: 83406
County: Bonneville County
Mailing Address: 6220 PARTRIDGE WAY AMMON, ID 83406

National Provider Identifier

NPI Number:
1316305519

Authorized Person:

Name:
MR. GREG D NEBEKER
Role:
NURSE ANESTHETIST
Phone:

Taxonomy:

Selected Taxonomy:
261QP3300X - Pain Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Cancellation of Certificate of Assumed Business Name 0004376935 2021-08-10
Initial Filing 0000313831 2006-07-05

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State