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SWENSON M.D., INC.

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Company Details

Name: SWENSON M.D., INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 30 May 2008 (17 years ago)
Financial Date End: 31 May 2023
Date dissolved: 04 Aug 2023
Entity Number: 540830
Place of Formation: IDAHO
File Number: 540830
ZIP code: 83350
County: Minidoka County
Mailing Address: 1125 E 700 N JACKSON, ID 83350-5022

Agent

Name Role Address
JEFF S SWENSON Agent 1125 E 700 N, JACKSON, ID 83350

President

Name Role Address Appointed On
JEFFREY S SWENSON President 1125 E 700 N, JACKSON, ID 83350 2021-04-03

National Provider Identifier

NPI Number:
1215191390

Authorized Person:

Name:
DR. JEFFREY SCOTT SWENSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2084361561

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005351148 2023-08-04
Annual Report 0004685254 2022-04-04
Annual Report 0004227142 2021-04-03
Annual Report 0003832478 2020-04-03
Annual Report 0003528643 2019-05-31

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Date of last update: 08 Jun 2025

Sources: Idaho Secretary of State