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DOCTOR MOM'S WHOLESOME HEALTH PLLC

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Company Details

Name: DOCTOR MOM'S WHOLESOME HEALTH PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Mar 2011 (14 years ago)
Financial Date End: 31 Mar 2025
Entity Number: 313643
Place of Formation: IDAHO
File Number: 313643
ZIP code: 83404
County: Bonneville County
Principal Address: 2410 E 25TH ST IDAHO FALLS, ID 83404-7549

Agent

Name Role Address
LARAMIE WHEELER Agent 2410 E 25TH CIRCLE, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
Laramie Wheeler Manager 2410 E. 25TH CIRCLE, IDAHO FALLS, ID 83404 2021-09-27

National Provider Identifier

NPI Number:
1275963589

Authorized Person:

Name:
LARAMIE L. WHEELER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2085425080

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0005788938 2024-06-25
Dissolution/Revocation - Administrative 0005774833 2024-06-12
Application for Reinstatement 0005332331 2023-07-26
Dissolution/Revocation - Administrative 0005280209 2023-06-14
Application for Reinstatement 0004857214 2022-08-11

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Date of last update: 01 Jun 2025

Sources: Idaho Secretary of State