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ROSENBERG CHIROPRACTIC

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Company Details

Name: ROSENBERG CHIROPRACTIC
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 10 Feb 2004 (21 years ago)
Entity Number: 229464
Place of Formation: IDAHO
File Number: 0000229464
ZIP code: 83713
County: Ada County
Mailing Address: 5418 N EAGLE RD STE 110 BOISE, ID 83713

National Provider Identifier

NPI Number:
1215972005

Authorized Person:

Name:
JAMES R ROSENBERG
Role:
DOCTOR OF CHIROPRACTIC
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2083849057

Filing

Filing Name Filing Number Filing date
Initial Filing 0000229464 2004-02-10

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State