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W. ALLEN RADER, M.D., P.C.

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Company Details

Name: W. ALLEN RADER, M.D., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 19 Oct 2004 (21 years ago)
Financial Date End: 31 Oct 2021
Date dissolved: 06 Oct 2021
Entity Number: 476810
Place of Formation: IDAHO
File Number: 476810
ZIP code: 83616
County: Ada County
Mailing Address: 2594 E MARGATE CT EAGLE, ID 83616-6680

Agent

Name Role Address
W ALLEN RADER MD Agent 2594 E MARGATE CT, EAGLE, ID 83616

President

Name Role Address Appointed On
wilbur a rader President 2594 E MARGATE CT, EAGLE, ID 83616 2020-11-09

National Provider Identifier

NPI Number:
1639516180

Authorized Person:

Name:
DR. WILBUR ALLEN RADER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RB0002X - Obesity Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
2083679188

Form 5500 Series

Employer Identification Number (EIN):
202047167
Plan Year:
2019
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
22
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0004439587 2021-10-06
Annual Report 0004063899 2020-11-09
Annual Report 0003680347 2019-11-19
Annual Report 0002993267 2018-08-24
Annual Report 0002993276 2017-08-29

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State