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Two Rivers Medical Group, LLC

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Company Details

Name: Two Rivers Medical Group, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 29 Mar 2019 (6 years ago)
Financial Date End: 31 Mar 2022
Date dissolved: 24 Jun 2022
Entity Number: 3466475
Place of Formation: IDAHO
File Number: 660326
ZIP code: 83714
County: Ada County
Principal Address: ERIN PRETTYWEASEL 7568 FERRIS AVE BOISE, ID 83714-5508

Agent

Name Role Address
ERIN PRETTYWEASEL Agent 7568 FERRIS AVE, BOISE, ID 83714

National Provider Identifier

NPI Number:
1770044703
Certification Date:
2023-12-20

Authorized Person:

Name:
ERIN PRETTYWEASEL
Role:
OWNER, CEO
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004791777 2022-06-24
Application for Reinstatement 0004252372 2021-04-19
Dissolution/Revocation - Administrative 0003898028 2020-06-04
Initial Filing 0003466475 2019-03-29

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State