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Coeur Vitality, PLLC
Company Details
Name: |
Coeur Vitality, PLLC |
Jurisdiction: |
Idaho |
Legal type: |
Limited Liability Company (D) |
Status: |
Active-Existing
|
Date of registration: |
05 Mar 2020 (5 years ago)
|
Financial Date End: |
31 Mar 2026 |
Entity Number: |
3804283 |
Place of Formation: |
IDAHO |
File Number: |
702043 |
ZIP code: |
83814
|
County: |
Kootenai County |
Principal Address: |
DR. BRITTANY BURNS 316 MILITARY DR COEUR D'ALENE, ID 83814 |
Mailing Address: |
316 MILITARY DR COEUR D ALENE, ID 83814-2137 |
Member
Name |
Role |
Address |
Appointed On |
Resigned On |
Jonathan Burns
|
Member
|
316 MILITARY DR, COEUR D'ALENE, ID 83814
|
2021-03-03
|
2022-12-14
|
Jonathna Burns
|
Member
|
110 E WALLACE AVE, COEUR D ALENE, ID 83814
|
2022-12-14
|
No data
|
Agent
Name |
Role |
Address |
Brittany Burns
|
Agent
|
110 E WALLACE AVE, COEUR D ALENE, ID 83814
|
Unique Entity ID
Unique Entity ID:
D4QFF2RJLEA3
UEI Expiration Date:
2025-07-02
Business Information
Activation Date:
2024-07-04
Initial Registration Date:
2021-10-13
Commercial and government entity program
CAGE Update Date:
2025-07-02
SAM Expiration:
2025-07-02
Contact Information
Corporate URL:
www.coeurvitality.com
National Provider Identifier
Certification Date:
2020-08-17
Authorized Person:
Taxonomy:
Selected Taxonomy:
261Q00000X - Clinic/Center
Contacts:
Form 5500 Series
Employer Identification Number (EIN):
845128853
Number Of Participants:
9
Sponsors Telephone Number:
Number Of Participants:
8
Sponsors Telephone Number:
Number Of Participants:
7
Sponsors Telephone Number:
Number Of Participants:
6
Sponsors Telephone Number:
Number Of Participants:
0
Sponsors Telephone Number:
This company hasn't received any reviews.
Date of last update: 16 Aug 2025
Sources:
Idaho Secretary of State