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J. CRAIG STEVENS, MD, P.C.

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Company Details

Name: J. CRAIG STEVENS, MD, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 19 Jul 1999 (26 years ago)
Financial Date End: 31 Jul 2018
Date dissolved: 03 Dec 2018
Entity Number: 396800
Place of Formation: IDAHO
File Number: 396800
ZIP code: 83811
County: Bonner County
Mailing Address: PO BOX 353 CLARK FORK, ID 83811

Agent

Name Role Address
J CRAIG STEVENS MD Agent 60319 HWY 200, CLARK FORK, ID 83811

National Provider Identifier

NPI Number:
1548544570

Authorized Person:

Name:
DR. JONATHAN CRAIG STEVENS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2081N0008X - Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
521367719
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
2
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003358244 2018-12-03
Annual Report 0002701399 2017-05-21
Annual Report 0002701398 2016-05-23
Annual Report 0002701396 2015-05-24
Annual Report 0002701394 2014-05-18

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Date of last update: 21 Jul 2025

Sources: Idaho Secretary of State