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North Idaho Dermatology, Inc.

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Company Details

Name: North Idaho Dermatology, Inc.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 04 Nov 1999 (26 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 400631
Place of Formation: IDAHO
File Number: 400631
ZIP code: 83814
County: Kootenai County
Mailing Address: 2199 N MERRITT CREEK LOOP COEUR D ALENE, ID 83814-4949

President

Name Role Address Appointed On Resigned On
Stephen Craig President 24606 E SINTO LN, LIBERTY LAKE, WA 99019 2020-10-22 2021-10-04
BENJAMIN RINGGER President 1330 BRUIN LOOP, HAYDEN, ID 83835 2021-10-04 No data

Secretary

Name Role Address Appointed On Resigned On
Kate Khorsand Secretary 11559 WEST COYOTE LANE, POST FALLS, ID 83854 2023-10-03 2024-06-06

Vice President

Name Role Address Appointed On Resigned On
HILARY HILL Vice President 8044 N WESTVIEW DRIVE, COEUR D ALENE, ID 83815 2023-10-03 2024-06-06

Agent

Name Role Address
MELANIE ALEXANDER Agent 2199 N MERRITT CREEK LOOP, COEUR D ALENE, ID 83814

National Provider Identifier

NPI Number:
1215936638

Authorized Person:

Name:
DR. STEPHEN D. CRAIG
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
2086674607

Form 5500 Series

Employer Identification Number (EIN):
820516332
Plan Year:
2023
Number Of Participants:
124
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
76
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
104
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
88
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
82
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Restated Articles 0005989408 2024-11-19
Annual Report 0005920439 2024-10-03
Annual Report Amendment 0005763532 2024-06-06
Annual Report 0005419454 2023-10-03
Annual Report 0004934043 2022-10-03

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 04 Jun 2025

Sources: Idaho Secretary of State