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Christopher Kolobow, NP-C LLC

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Company Details

Name: Christopher Kolobow, NP-C LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Apr 2020 (5 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 3845423
Place of Formation: IDAHO
File Number: 706059
ZIP code: 83805
County: Boundary County
Principal Address: 6737 B CODY STREET BONNERS FERRY, ID 83805
Mailing Address: PO BOX P BONNERS FERRY, ID 83805-1199

Agent

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

Member

Name Role Address Appointed On
Christopher Michael Kolobow Member 6737 B CODY STREET, BONNERS FERRY, ID 83805 2021-03-23

National Provider Identifier

NPI Number:
1992325815
Certification Date:
2020-04-21

Authorized Person:

Name:
CHRISTOPHER MICHAEL KOLOBOW
Role:
BUSINESS OWNER & NURSE PRACTIONER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2082672225

Filing

Filing Name Filing Number Filing date
Annual Report 0006257711 2025-05-16
Annual Report 0005706692 2024-04-29
Annual Report 0005202161 2023-04-14
Annual Report 0004627433 2022-03-02
Annual Report 0004216601 2021-03-23

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Date of last update: 14 Jun 2025

Sources: Idaho Secretary of State