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DEBRA S. GORIN, M.D., P.C.

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Company Details

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 (20 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

National Provider Identifier

NPI Number:
1083724215

Authorized Person:

Name:
DR. DEBRA S GORIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2085288109

Filing

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

USAspending Awards / Contracts

Procurement Instrument Identifier:
DEAF0708ID60701
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
10000.00
Base And Exercised Options Value:
10000.00
Base And All Options Value:
10000.00
Awarding Agency Name:
Department of Energy
Performance Start Date:
2008-10-01
Description:
PSYCIATRIC EVALUATIONS AND TESTING
Naics Code:
621420: OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE CENTERS
Product Or Service Code:
Q519: PSYCHIATRY SERVICES

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State