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Treasure Valley Nasal and Sinus Center, PLLC

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Company Details

Name: Treasure Valley Nasal and Sinus Center, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Sep 2020 (5 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 3997859
Place of Formation: IDAHO
File Number: 724635
ZIP code: 83616
County: Ada County
Principal Address: PETER KILLIAN MD 1481 MACE ROAD EAGLE, ID 83616
Mailing Address: PETER KILLIAN STE 120 1157 N SUMMERBROOK AVE MERIDIAN, ID 83642-9047

Agent

Name Role Address
Peter Killian Agent 1157 N. SUMMERBROOK AVE, 120, MERIDIAN, ID 83642

Manager

Name Role Address Appointed On
Peter Killian Manager 1157 N. SUMERBROOK LN, MERIDIAN, ID 83642 2021-09-14

Governor

Name Role Address Appointed On Resigned On
Peter Killian Governor 1481 MACE ROAD, EAGLE, ID 83616 2020-09-12 2021-09-14

National Provider Identifier

NPI Number:
1578179743
Certification Date:
2023-02-03

Authorized Person:

Name:
PETER KILLIAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
853092057
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005847950 2024-08-06
Annual Report 0005347050 2023-08-03
Change of Registered Office/Agent/Both (by Entity) 0004882040 2022-09-03
Annual Report 0004881947 2022-09-03
Annual Report 0004418630 2021-09-14

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State