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EVERGREEN NATURAL HEALTH SOLUTIONS

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Company Details

Name: EVERGREEN NATURAL HEALTH SOLUTIONS
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Inactive-Cancelled
Date of registration: 16 Sep 2005 (20 years ago)
Entity Number: 284692
Place of Formation: IDAHO
File Number: 0000284692
ZIP code: 83634
County: Ada County
Mailing Address: 774 W LUNCHBOX ST KUNA, ID 83634

National Provider Identifier

NPI Number:
1417096256

Authorized Person:

Name:
DR. MATTHEW DAVID HALES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2088958594

Filing

Filing Name Filing Number Filing date
Cancellation of Certificate of Assumed Business Name 0000837617 2006-10-12
Initial Filing 0000284692 2005-09-16

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State