Search icon

Dermatology and Allergies Clinic at Teton Valley, PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: Dermatology and Allergies Clinic at Teton Valley, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 26 Sep 2024 (8 months ago)
Financial Date End: 30 Sep 2025
Entity Number: 5912890
Place of Formation: IDAHO
File Number: 957037
ZIP code: 83422
County: Teton County
Principal Address: 40 LITTLE AVE DRIGGS, ID 83422
Mailing Address: PO BOX 967 VICTOR, ID 83455-0967

Agent

Name Role Address
HERBERT HEIMERL Agent 20 CEDRON RD, STE 201, VICTOR, ID 83455

National Provider Identifier

NPI Number:
1871311647
Certification Date:
2024-10-01

Authorized Person:

Name:
LYUDMYLA NORGART
Role:
BUSINESS OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0005912890 2024-09-26

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 23 May 2025

Sources: Idaho Secretary of State