| Name: | DOTTED LINE MEDICAL CREDENTIALING & PAYER ENROLLMENT, LLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 14 Aug 2017 (7 years ago) |
| Financial Date End: | 31 Aug 2022 |
| Date dissolved: | 05 Nov 2022 |
| Entity Number: | 566808 |
| Place of Formation: | IDAHO |
| File Number: | 566808 |
| ZIP code: | 83401 |
| County: | Bonneville County |
| Principal Address: | 625 8TH STREET IDAHO FALLS, ID 83401 |
| Mailing Address: | 625 8TH ST IDAHO FALLS, ID 83401-4911 |
| Name | Role | Address |
|---|---|---|
| SHENAE HUNTSMAN | Agent | 625 8TH STREET, IDAHO FALLS, ID 83401 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Shenae Huntsman | Member | 625 8TH STREET, IDAHO FALLS, ID 83401 | 2020-07-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Dissolution/Revocation - Administrative | 0004977986 | 2022-11-05 |
| Annual Report | 0004382488 | 2021-08-12 |
| Annual Report | 0003927822 | 2020-07-03 |
| Annual Report | 0003579695 | 2019-07-26 |
| Annual Report | 0003217487 | 2018-06-26 |
| Initial Filing | 0000566808 | 2017-08-14 |
Date of last update: 25 Dec 2024
Sources: Idaho Secretary of State
