Search icon

PHYSICIANS CLINIC, PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: PHYSICIANS CLINIC, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 28 Jan 2000 (25 years ago)
Financial Date End: 31 Jan 2021
Date dissolved: 08 Apr 2021
Entity Number: 47266
Place of Formation: IDAHO
File Number: 47266
ZIP code: 83713
County: Ada County
Principal Address: 4750 N FIVE MILE RD BOISE, ID 83713
Mailing Address: 5750 W STERLING LN BOISE, ID 83703-3000

Agent

Name Role Address
DR TERRY LITTLE Agent 5750 W. STERLING LN., BOISE, ID 83703

National Provider Identifier

NPI Number:
1992895866

Authorized Person:

Name:
MRS. CORINNE K CHASTAIN
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2088533120

Form 5500 Series

Employer Identification Number (EIN):
820519050
Plan Year:
2019
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
21
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004239591 2021-04-08
Annual Report 0003745226 2020-01-13
Statement of Change of Business Mailing Address 0003482766 2019-04-18
Annual Report 0003418854 2019-01-31
Annual Report 0001106585 2017-12-05

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 25 May 2025

Sources: Idaho Secretary of State