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Boise ENT LLC
Company Details
| Name: |
Boise ENT LLC |
| Jurisdiction: |
Idaho |
| Legal type: |
Limited Liability Company (D) |
| Status: |
Active-Existing
|
| Date of registration: |
04 May 2020 (5 years ago)
|
| Financial Date End: |
31 May 2026 |
| Entity Number: |
3866316 |
| Place of Formation: |
IDAHO |
| File Number: |
708422 |
| ZIP code: |
83706
|
| County: |
Ada County |
| Principal Address: |
5606 W PLYMOUTH ST BOISE, ID 83706 |
| Mailing Address: |
STE 150 8854 W EMERALD ST BOISE, ID 83704-4845 |
Agent
| Name |
Role |
Address |
|
Donald J Beasley
|
Agent
|
5606 W PLYMOUTH ST, BOISE, ID 83704
|
Governor
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
Donald James Beasley
|
Governor
|
5606 W PLYMOUTH ST, BOISE, ID 83706
|
2021-03-01
|
2021-05-03
|
Manager
| Name |
Role |
Address |
Appointed On |
|
Donald James Beasley
|
Manager
|
5606 W PLYMOUTH ST, BOISE, ID 83706
|
2021-05-03
|
National Provider Identifier
Certification Date:
2021-05-25
Authorized Person:
Name:
DR. DONALD J BEASLEY
Taxonomy:
Selected Taxonomy:
207YS0123X - Facial Plastic Surgery Physician
Contacts:
This company hasn't received any reviews.
Date of last update: 07 Jul 2025
Sources:
Idaho Secretary of State
