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EVENSON CHIROPRACTIC, LLC

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Company Details

Name: EVENSON CHIROPRACTIC, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 17 Dec 2007 (18 years ago)
Financial Date End: 31 Dec 2022
Date dissolved: 08 Mar 2023
Entity Number: 219529
Place of Formation: IDAHO
File Number: 219529
ZIP code: 83814
County: Kootenai County
Principal Address: 916 IRONWOOD DR. SUITE 1 COEUR D ALENE, ID 83814
Mailing Address: STE 1 916 W IRONWOOD DR COEUR D ALENE, ID 83814-2642

Agent

Name Role Address
ANDREW EVANSON Agent 916 IRONWOOD DRIVE, SUITE 1, COEUR D'ALENE, ID 83814

Manager

Name Role Address Appointed On
Andrew Evenson Manager 916 IRONWOOD DRIVE SUITE 1, COEUR D'ALENE, ID 83814 2021-10-04

National Provider Identifier

NPI Number:
1285819425

Authorized Person:

Name:
DR. ANDREW THOMAS EVENSON
Role:
DOCTOR/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2087699977

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005144443 2023-03-08
Annual Report 0004543959 2021-12-29
Application for Reinstatement 0004436653 2021-10-04
Dissolution/Revocation - Administrative 0004207139 2021-03-13
Annual Report 0003718971 2019-12-30

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Date of last update: 26 Jun 2025

Sources: Idaho Secretary of State