| Name: | Grand Teton Headache Medicine and Neurology PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 28 Nov 2023 (a year ago) |
| Financial Date End: | 30 Nov 2025 |
| Entity Number: | 5489294 |
| Place of Formation: | IDAHO |
| File Number: | 909195 |
| ZIP code: | 83713 |
| County: | Ada County |
| Principal Address: | 12952 W PAINT DR BOISE, ID 83713 |
| Mailing Address: | 12952 W PAINT DR BOISE, ID 83713-1947 |
| Name | Role | Address |
|---|---|---|
| Ryan M Smith | Agent | 12952 W PAINT DR, BOISE, ID 83713 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Ryan M Smith | Manager | 12952 W PAINT DR, BOISE, ID 83713 | 2024-12-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006001378 | 2024-12-03 |
| Initial Filing | 0005489294 | 2023-11-28 |
Date of last update: 10 Jan 2025
Sources: Idaho Secretary of State
