| Name: | DEBRA S. GORIN, M.D., P.C. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 22 Dec 2005 (19 years ago) |
| Financial Date End: | 31 Dec 2008 |
| Date dissolved: | 06 Mar 2009 |
| Entity Number: | 497830 |
| Place of Formation: | IDAHO |
| File Number: | 0000497830 |
| ZIP code: | 83401 |
| County: | Bonneville County |
| Mailing Address: | 1361 CAMBRIDGE DR IDAHO FALLS, ID 83401 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0003055509 | 2007-12-06 |
| Annual Report | 0003055508 | 2006-10-16 |
| Statement of Change of Business Mailing Address | 0003055507 | 2006-09-05 |
| Initial Filing | 0000497830 | 2005-12-22 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | DEAF0708ID60701 | 2008-10-01 | 2013-09-30 | 2013-09-30 | |||||||||||||||||||||
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| Title | PSYCIATRIC EVALUATIONS AND TESTING |
| NAICS Code | 621420: OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE CENTERS |
| Product and Service Codes | Q519: PSYCHIATRY SERVICES |
Recipient Details
| Recipient | DEBRA S. GORIN, M.D., P.C. |
| UEI | Y7RLXQ3VVF46 |
| Legacy DUNS | 621836811 |
| Recipient Address | 1361 CAMBRIDGE DR, IDAHO FALLS, 834014208, UNITED STATES |
Date of last update: 26 Sep 2024
Sources: Idaho Secretary of State
