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BOISE RHEUMATOLOGY P.C.

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Company Details

Name: BOISE RHEUMATOLOGY P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 21 Jun 2006 (19 years ago)
Financial Date End: 30 Jun 2010
Date dissolved: 07 Sep 2010
Entity Number: 507937
Place of Formation: IDAHO
File Number: 0000507937
ZIP code: 83702
County: Ada County
Mailing Address: 222 N 2ND ST STE 304 BOISE, ID 83702

National Provider Identifier

NPI Number:
1134210966

Authorized Person:

Name:
STEVEN RICHARD ECKLUND
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
Yes

Contacts:

Fax:
2084330234

Filing

Filing Name Filing Number Filing date
Annual Report 0003083089 2009-04-13
Annual Report 0003083091 2008-04-11
Annual Report 0003083090 2007-04-09
Initial Filing 0000507937 2006-06-21

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State