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Chiropractic Billing Center PLLC

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Company Details

Name: Chiropractic Billing Center PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 21 Feb 2019 (6 years ago)
Financial Date End: 28 Feb 2025
Date dissolved: 13 May 2025
Entity Number: 3434300
Place of Formation: IDAHO
File Number: 655632
ZIP code: 83642
County: Ada County
Principal Address: DR. BREWER STE 60 520 S MERIDIAN RD MERIDIAN, ID 83642-4533
Mailing Address: 9612 W KNOTTINGHAM DR BOISE, ID 83704-2237

Member

Name Role Address Appointed On
Michelle M Brewer Member 4361 S MITMAN WAY, MERIDIAN, ID 83642-8170 2022-10-18
Michelle Brewer Member 4361 S MITMAN WAY, MERIDIAN, ID 83642-8170 2024-02-28

Manager

Name Role Address Appointed On
Douglas Brewer Dr Manager 520 S MERIDIAN ROAD, MERIDIAN, ID 83642 2024-02-28

Agent

Name Role Address
DOUGLAS W BREWER Agent 520 S MERIDIAN ROAD, SUITE 50, MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1083274260

Authorized Person:

Name:
DOUGLAS WAYNE BREWER
Role:
PROVIDER/ OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2084939753

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006250608 2025-05-13
Annual Report 0005616159 2024-02-28
Statement of Change of Business Mailing Address 0005447804 2023-10-24
Application for Reinstatement 0005368044 2023-08-21
Dissolution/Revocation - Administrative 0005235842 2023-05-10

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State