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Northwest Occupational Medicine & Neurosurgical Spine Institute LLC

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Company Details

Name: Northwest Occupational Medicine & Neurosurgical Spine Institute LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 Jun 2019 (6 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 3539445
Place of Formation: IDAHO
File Number: 670115
ZIP code: 83704
County: Ada County
Principal Address: LISA M JOLLIFF STE 400 6140 W CURTISIAN AVE BOISE, ID 83704
Mailing Address: LISA M JOLLIFF STE 400 6140 W CURTISIAN AVE BOISE, ID 83704-8907

Agent

Name Role Address
PAUL J MONTALBANO MD Agent 6140 W CURTISIAN AVE STE 400, BOISE, ID 83704

Member

Name Role Address Appointed On
Paul Montalbano Member 6140 W CURTISIAN AVE, BOISE, ID 83704 2020-06-30

National Provider Identifier

NPI Number:
1619539897
Certification Date:
2022-05-09

Authorized Person:

Name:
DR. PAUL JOSEPH MONTALBANO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QX0100X - Occupational Medicine Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083275602
Fax:
2083777707

Filing

Filing Name Filing Number Filing date
Annual Report 0005719457 2024-05-03
Annual Report 0005225152 2023-05-05
Annual Report 0004723933 2022-05-03
Annual Report 0004279085 2021-05-10
Annual Report 0003918926 2020-06-30

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State