Search icon

SUN VALLEY SPORTS MEDICINE, P.A.

Company claim

Is this your business?

Get access!

Company Details

Name: SUN VALLEY SPORTS MEDICINE, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 29 Mar 1993 (32 years ago)
Financial Date End: 31 Mar 2012
Date dissolved: 18 Jan 2012
Entity Number: 314011
Place of Formation: IDAHO
File Number: 0000314011
ZIP code: 83340
County: Blaine County
Mailing Address: PO BOX 2064 KETCHUM, ID 83340

National Provider Identifier

NPI Number:
1124061163

Authorized Person:

Name:
STEPHEN WASILWESKI
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary:
No
Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2087268948

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0000851286 2012-01-18
Annual Report 0002306645 2011-01-22
Application for Reinstatement 0002306648 2010-02-18
Application for Reinstatement 0000851287 2010-02-11
Annual Report 0002306647 2008-01-24

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State