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Jonathon C. Wolf, MD, PLLC

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Company Details

Name: Jonathon C. Wolf, MD, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Mar 2024 (a year ago)
Financial Date End: 31 Mar 2026
Entity Number: 5644071
Place of Formation: IDAHO
File Number: 925961
ZIP code: 83642
County: Ada County
Principal Address: SUITE 200B 875 S VANGUARD WAY MERIDIAN, ID 83642
Mailing Address: STE 200B 875 S VANGUARD WAY MERIDIAN, ID 83642-8540

Member

Name Role Address Appointed On
JONATHON C WOLF MD Member 875 S VANGUARD WAY, MERIDIAN, ID 83642 2025-05-10

Agent

Name Role Address
Jonathon C Wolf Agent 875 S VANGUARD WAY, SUITE 200B, MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1174377386
Certification Date:
2024-04-15

Authorized Person:

Name:
JONATHON WOLF
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006248022 2025-05-10
Amendment to Certificate 0005696811 2024-04-18
Change of Registered Office/Agent/Both (by Entity) 0005695349 2024-04-17
Statement of Change of Business Mailing Address 0005695338 2024-04-17
Initial Filing 0005644071 2024-03-11

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Date of last update: 21 Jun 2025

Sources: Idaho Secretary of State