Search icon

BRIAN E. O'BYRNE, M.D., P.A.

Company claim

Is this your business?

Get access!

Company Details

Name: BRIAN E. O'BYRNE, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 16 Nov 1999 (26 years ago)
Financial Date End: 30 Nov 2023
Date dissolved: 01 Mar 2024
Entity Number: 401044
Place of Formation: IDAHO
File Number: 401044
ZIP code: 83406
County: Bonneville County
Mailing Address: 1490 MIDWAY AVE AMMON, ID 83406-4587

Agent

Name Role Address
BRIAN E O'BYRNE Agent 1490 MIDWAY AVE, AMMON, ID 83406-4587

President

Name Role Address Appointed On
Brian E O'Byrne President 1490 MIDWAY AVE, AMMON, ID 83406 2021-02-05

National Provider Identifier

NPI Number:
1790012383

Authorized Person:

Name:
BRIAN E O'BYRNE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2085354476

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005620811 2024-03-01
Annual Report 0004166817 2021-02-05
Annual Report 0003647014 2019-10-11
Application for Reinstatement 0003454326 2019-03-15
Dissolution/Revocation - Administrative 0003443481 2019-03-05

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 04 Jun 2025

Sources: Idaho Secretary of State