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TETON SPINE PLLC

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Company Details

Name: TETON SPINE PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Sep 2014 (11 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 433277
Place of Formation: IDAHO
File Number: 433277
ZIP code: 83202
County: Bannock County
Principal Address: 11668 PAINTBRUSH LN POCATELLO, ID 83202-3402

Agent

Name Role Address
ERIC L OLSEN Agent 505 PERSHING AVE., SUITE 100, POCATELLO, ID 83201

Member

Name Role Address Appointed On
Jonathan T Morgan Member 11668 PAINTBRUSH LANE, POCATELLO, ID 83202 2021-08-17
Jonathan T Morgan Dr. Member 11668 PAINTBRUSH LANE, POCATELLO, ID 83202 2020-09-30

National Provider Identifier

NPI Number:
1225432313

Authorized Person:

Name:
JONATHAN T MORGAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005852653 2024-08-08
Application for Reinstatement 0005520679 2023-12-18
Dissolution/Revocation - Administrative 0005514139 2023-12-16
Annual Report 0004881179 2022-09-03
Annual Report 0004386623 2021-08-17

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State