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ENNIS ENDOCRINOLOGY PLLC

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Company Details

Name: ENNIS ENDOCRINOLOGY PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 06 Nov 2012 (13 years ago)
Financial Date End: 30 Nov 2020
Date dissolved: 04 Feb 2021
Entity Number: 364864
Place of Formation: IDAHO
File Number: 364864
ZIP code: 83642
County: Ada County
Principal Address: 2450 E GALA ST. STE 100 MERIDIAN, ID 83642
Mailing Address: STE 100 2450 E GALA ST MERIDIAN, ID 83642-4805

Agent

Name Role Address
ROBERT ENNIS MD Agent 2498 W TIMBER DR, EAGLE, ID 83616

National Provider Identifier

NPI Number:
1902143134
Certification Date:
2020-04-09

Authorized Person:

Name:
DR. ROBERT FRANK ENNIS
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
Yes

Contacts:

Fax:
2089084542

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004160884 2021-02-04
Application for Reinstatement 0003777725 2020-02-10
Dissolution/Revocation - Administrative 0003772814 2020-02-06
Annual Report 0003344708 2018-11-07
Annual Report 0002561460 2017-10-10

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Date of last update: 20 Jul 2025

Sources: Idaho Secretary of State