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BRIAN STORY, M.D., CHARTERED

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Company Details

Name: BRIAN STORY, M.D., CHARTERED
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 02 Jun 2015 (10 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 620731
Place of Formation: IDAHO
File Number: 620731
ZIP code: 83702
County: Ada County
Mailing Address: EDDY MCLANE 425 W BANNOCK ST BOISE, ID 83702-6035

Agent

Name Role Address
BRIAN STORY, M.D. Agent 425 W BANNOCK ST, BOISE, ID 83702

President

Name Role Address Appointed On
Brian Story President 425 W. BANNOCK ST, BOISE, ID 83702 2021-05-12

Secretary

Name Role Address Appointed On
Elana Story Secretary 425 W. BANNOCK ST, BOISE, ID 83702 2024-05-29

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
EDDY MCLANE
User ID:
P3315442

Unique Entity ID

Unique Entity ID:
PAANC9D781Z1
CAGE Code:
9ZSU3
UEI Expiration Date:
2025-08-28

Business Information

Activation Date:
2024-09-03
Initial Registration Date:
2024-08-23

National Provider Identifier

NPI Number:
1699150623

Authorized Person:

Name:
BRIAN T STORY
Role:
M.D.
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
2083427042
Fax:
2088771682

Filing

Filing Name Filing Number Filing date
Annual Report 0006232982 2025-05-05
Annual Report 0005749694 2024-05-29
Annual Report 0005219098 2023-05-03
Annual Report 0004757044 2022-05-24
Annual Report 0004281675 2021-05-12

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State