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FPC, PLLC

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Company Details

Name: FPC, PLLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Inactive-Revoked (Administrative)
Date of registration: 05 Sep 2014 (11 years ago)
Financial Date End: 30 Sep 2020
Date dissolved: 08 Dec 2020
Entity Number: 432495
Place of Formation: WYOMING
File Number: 432495
Principal Address: 155 YELLOW ROSE DR ALTA, WY 83414
Mailing Address: 155 YELLOW ROSE DR ALTA, WY 83414-4540

National Provider Identifier

NPI Number:
1417357534

Authorized Person:

Name:
DR. SCOTT DAVID THOMAS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083544758

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004092320 2020-12-08
Annual Report 0003627737 2019-09-24
Annual Report 0002840200 2018-09-25
Annual Report 0002840198 2017-09-16
Annual Report 0002840196 2016-09-12

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Date of last update: 04 Sep 2025

Sources: Idaho Secretary of State