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NUTRITIONAL MEDICINE OF IDAHO

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Company Details

Name: NUTRITIONAL MEDICINE OF IDAHO
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 15 Oct 2007 (18 years ago)
Entity Number: 356514
Place of Formation: IDAHO
File Number: 0000356514
ZIP code: 83616
County: Ada County
Mailing Address: PO BOX 2045 EAGLE, ID 83616

National Provider Identifier

NPI Number:
1467621383

Authorized Person:

Name:
DR. MATTHEW R MACHA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
133NN1002X - Nutrition Education Nutritionist
Is Primary:
Yes

Contacts:

Fax:
2082872010

Filing

Filing Name Filing Number Filing date
Legacy Amendment 0000869201 2008-07-14
Initial Filing 0000356514 2007-10-15

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State