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LILJENQUIST CHIROPRACTIC, P.A.

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Company Details

Name: LILJENQUIST CHIROPRACTIC, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 26 Jun 1995 (30 years ago)
Financial Date End: 30 Jun 2025
Date dissolved: 13 Sep 2021
Entity Number: 342263
Place of Formation: IDAHO
File Number: 342263
ZIP code: 83318
County: Cassia County
Mailing Address: STE A 1600 OVERLAND AVE BURLEY, ID 83318-2434

Agent

Name Role Address
CODY LILJENQUIST Agent 1600 OVERLAND AVE, SUITE A, BURLEY, ID 83318

President

Name Role Address Appointed On
Cody S Liljenquist President 1600 OVERLAND, BURLEY, ID 83318 2020-07-08

National Provider Identifier

NPI Number:
1811295447

Authorized Person:

Name:
CODY S. LILJENQUIST
Role:
OWNER/CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2086783334

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0005979978 2024-11-13
Dissolution/Revocation - Administrative 0004416691 2021-09-13
Annual Report 0003935368 2020-07-08
Annual Report 0003587085 2019-08-02
Annual Report 0002453556 2018-06-04

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Date of last update: 02 Jun 2025

Sources: Idaho Secretary of State