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MACIESKI, C.R.N.A., P.C.

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Company Details

Name: MACIESKI, C.R.N.A., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 21 Jun 2007 (18 years ago)
Financial Date End: 30 Jun 2015
Date dissolved: 22 Sep 2015
Entity Number: 526075
Place of Formation: IDAHO
File Number: 0000526075
ZIP code: 83406
County: Bonneville County
Mailing Address: 3282 E 65TH S IDAHO FALLS, ID 83406

National Provider Identifier

NPI Number:
1235327446

Authorized Person:

Name:
DENNIS C MACIESKI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2085232025

Filing

Filing Name Filing Number Filing date
Annual Report 0003129249 2014-05-07
Annual Report 0003129248 2013-05-22
Annual Report 0003129247 2012-05-05
Annual Report 0003129245 2011-06-01
Annual Report 0003129244 2010-06-17

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State