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Diehl Internal Medicine PLLC

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Company Details

Name: Diehl Internal Medicine PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 May 2021 (4 years ago)
Financial Date End: 31 May 2026
Entity Number: 4264437
Place of Formation: IDAHO
File Number: 761587
ZIP code: 83805
County: Boundary County
Principal Address: 354 RED CLOUD ROAD BONNERS FERRY, ID 83805
Mailing Address: DR DIEHL PO BOX 960 BONNERS FERRY, ID 83805

Member

Name Role Address Appointed On
William Paul Diehl IV Member PO BOX 960, BONNERS FERRY, ID 83805 2022-04-04

Agent

Name Role Address
WILLIAM PAUL DIEHL Agent 354 RED CLOUD ROAD, DR DIEHL, BONNERS FERRY, ID 83805

National Provider Identifier

NPI Number:
1396489696
Certification Date:
2022-06-06

Authorized Person:

Name:
DR. WILLIAM PAUL DIEHL IV
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006203781 2025-04-10
Amendment to Certificate 0005901831 2024-09-16
Annual Report 0005691189 2024-04-12
Annual Report 0005205147 2023-04-18
Annual Report 0004685213 2022-04-04

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Date of last update: 19 May 2025

Sources: Idaho Secretary of State