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JEREMY HANDY, M.D., PLLC

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Company Details

Name: JEREMY HANDY, M.D., PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 23 Oct 2013 (12 years ago)
Date dissolved: 18 Sep 2015
Entity Number: 398932
Place of Formation: IDAHO
File Number: 0000398932
ZIP code: 83704
County: Ada County
Principal Address: 413 N ALLUMBAUGH ST #101 BOISE, ID 83704

National Provider Identifier

NPI Number:
1265855118

Authorized Person:

Name:
CHERI PETERSON
Role:
REIMBURSEMENT SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
2083239604

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0000884670 2015-09-18
Annual Report 0002709914 2015-09-10
Annual Report 0002709913 2014-10-28
Initial Filing 0000398932 2013-10-23

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State