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FOOT & ANKLE SPECIALISTS OF IDAHO, P.C.

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Company Details

Name: FOOT & ANKLE SPECIALISTS OF IDAHO, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 24 Apr 2014 (11 years ago)
Financial Date End: 30 Apr 2024
Date dissolved: 06 Jul 2024
Entity Number: 608975
Place of Formation: IDAHO
File Number: 608975
ZIP code: 83406
County: Bonneville County
Mailing Address: 2288 PRINCESS DR AMMON, ID 83406-6844

Agent

Name Role Address
JOHN D PETERSON Agent 2288 PRINCESS DR, AMMON, ID 83406-6844

President

Name Role Address Appointed On
JOHN D PETERSON President 2288 PRINCESS DR, AMMON, ID 83406 2021-05-05

National Provider Identifier

NPI Number:
1437563699

Authorized Person:

Name:
DR. JOHN D PETERSON
Role:
DOCTOR OF PODIATRIC MEDICINE
Phone:

Taxonomy:

Selected Taxonomy:
213ES0103X - Foot & Ankle Surgery Podiatrist
Is Primary:
Yes

Contacts:

Fax:
2083467442

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005807251 2024-07-06
Annual Report 0005219793 2023-05-03
Annual Report 0004632243 2022-03-03
Annual Report 0004274495 2021-05-05
Annual Report 0003851706 2020-04-23

USAspending Awards / Financial Assistance

Date:
2015-05-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
30000.00
Total Face Value Of Loan:
30000.00

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State