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EAGLE PEDIATRICS, P.A.

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Company Details

Name: EAGLE PEDIATRICS, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 02 Jan 2003 (23 years ago)
Financial Date End: 31 Jan 2024
Date dissolved: 22 Mar 2024
Entity Number: 447516
Place of Formation: IDAHO
File Number: 447516
ZIP code: 83616
County: Ada County
Mailing Address: CONNIE MILLER STE A 125 STIERMAN WAY EAGLE, ID 83616-5163

Agent

Name Role Address
ALAN P MILLER Agent 125 N STIERMAN WAY STE A, EAGLE, ID 83616

President

Name Role Address Appointed On
ALAN P MILLER President SUITE A, EAGLE, ID 83616-5163 2020-12-17

National Provider Identifier

NPI Number:
1447475918

Authorized Person:

Name:
DR. ALAN P MILLER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2089395003

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0005656947 2024-03-22
Annual Report 0005018128 2022-12-07
Annual Report 0004518286 2021-12-06
Annual Report 0004103076 2020-12-17
Annual Report 0003730638 2020-01-06

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
42950
Current Approval Amount:
42950
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
43410.52

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State