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RICHARD J. PINES, D.O., PLLC

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Company Details

Name: RICHARD J. PINES, D.O., PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Sep 2017 (8 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 572771
Place of Formation: IDAHO
File Number: 572771
ZIP code: 83709
County: Ada County
Principal Address: 615 S GREY PINE LN BOISE, ID 83709-2604

Agent

Name Role Address
RICHARD J PINES Agent 5519 N GLENWOOD ST, STE 120, BOISE, ID 83714

Member

Name Role Address Appointed On
Richard Pines Member 413 N ALLUMBAUGH ST, BOISE, ID 83704-9219 2020-08-12

Manager

Name Role Address Appointed On
Richard Pines Manager 5519 N GLENWOOD ST, BOISE, ID 83714 2023-09-12

National Provider Identifier

NPI Number:
1801306873
Certification Date:
2021-04-21

Authorized Person:

Name:
DR. RICHARD JOHN PINES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2083441296

Filing

Filing Name Filing Number Filing date
Annual Report 0005909670 2024-09-23
Annual Report 0005399157 2023-09-12
Annual Report 0004839684 2022-08-03
Annual Report 0004367076 2021-08-03
Annual Report 0003970317 2020-08-12

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State