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BRAD EGBERT CHIROPRACTIC LLC

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Company Details

Name: BRAD EGBERT CHIROPRACTIC LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 29 Dec 2006 (18 years ago)
Financial Date End: 31 Dec 2019
Date dissolved: 05 Jun 2019
Entity Number: 184339
Place of Formation: IDAHO
File Number: 184339
ZIP code: 83440
County: Madison County
Principal Address: 1134 BOND AVE REXBURG, ID 83440
Mailing Address: 1134 BOND AVE REXBURG, ID 83440-3582

Agent

Name Role Address
BRAD R EGBERT Agent 1134 BOND AVE, REXBURG, ID 83440

National Provider Identifier

NPI Number:
1578712949

Authorized Person:

Name:
DR. BRAD EGBERT
Role:
OWNER/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2083560458

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0003532170 2019-06-05
Annual Report 0003381249 2018-12-24
Annual Report 0001651995 2017-11-01
Application for Reinstatement 0001651994 2016-04-12
Application for Reinstatement 0000781430 2016-03-30

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Date of last update: 28 May 2025

Sources: Idaho Secretary of State