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Direct Doctor Care, PLLC

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Company Details

Name: Direct Doctor Care, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 May 2019 (6 years ago)
Financial Date End: 31 May 2026
Entity Number: 3509311
Place of Formation: IDAHO
File Number: 665997
ZIP code: 83644
County: Canyon County
Principal Address: SUITE 105 509 S MIDDLETON ROAD MIDDLETON, ID 83644
Mailing Address: STE 105 509 S MIDDLETON RD MIDDLETON, ID 83644-6047

Member

Name Role Address Appointed On
Roger Wyatt Member 509 S MIDDLETON ROAD SUITE 105, MIDDLETON, ID 83644 2021-04-14

Agent

Name Role Address
REGISTERED AGENTS INC Agent 784 S CLEARWATER LOOP STE R, POST FALLS, ID 83854

National Provider Identifier

NPI Number:
1871112094
Certification Date:
2020-04-09

Authorized Person:

Name:
ROGER WYATT
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006210051 2025-04-16
Annual Report 0005702682 2024-04-24
Annual Report 0005203644 2023-04-17
Annual Report 0004685827 2022-04-04
Annual Report 0004247956 2021-04-14

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State