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BOISE NATUROPATHIC MEDICINE

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Company Details

Name: BOISE NATUROPATHIC MEDICINE
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 14 Sep 2006 (19 years ago)
Entity Number: 320207
Place of Formation: IDAHO
File Number: 0000320207
ZIP code: 83704
County: Ada County
Mailing Address: 9520 FAIRVIEW AVE BOISE, ID 83704

National Provider Identifier

NPI Number:
1831364512

Authorized Person:

Name:
BRANDI S. SWEET
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
175F00000X - Naturopath
Is Primary:
No
Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
Yes

Contacts:

Fax:
2083737755

Filing

Filing Name Filing Number Filing date
Initial Filing 0000320207 2006-09-14

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State