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JOHN T. WITTE, M.D., P.A.

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Company Details

Name: JOHN T. WITTE, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 11 Jan 1994 (31 years ago)
Financial Date End: 31 Jan 2021
Date dissolved: 08 Apr 2021
Entity Number: 323431
Place of Formation: IDAHO
File Number: 323431
ZIP code: 83702
County: Ada County
Mailing Address: EDDY MCLANE 425 W BANNOCK ST BOISE, ID 83702-6035

Agent

Name Role Address
EDDY MCLANE Agent 15920 CANYON WOOD PL, CALDWELL, ID 83607

National Provider Identifier

NPI Number:
1275863243

Authorized Person:

Name:
DR. JOHN T WITTE
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
2083427042
Fax:
2088871682

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004241267 2021-04-08
Annual Report 0003748480 2020-01-16
Annual Report 0003406309 2019-01-22
Annual Report 0002357115 2018-01-26
Annual Report 0002357113 2016-12-01

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Date of last update: 01 Jun 2025

Sources: Idaho Secretary of State