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Body of a Champion Chiropractic, PC

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Company Details

Name: Body of a Champion Chiropractic, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 15 Apr 2020 (5 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 3845970
Place of Formation: IDAHO
File Number: 706161
ZIP code: 83704
County: Ada County
Mailing Address: DR. MADISON J WILLS, DC STE 120 9196 W EMERALD ST BOISE, ID 83704-8003

Agent

Name Role Address
MADISON J WILLS Agent 8512 W PEMBROOK DR, BOISE, ID 83704

President

Name Role Address Appointed On
Madison J Wills President 9196 W. EMERALD ST., BOISE, ID 83704 2021-03-20

National Provider Identifier

NPI Number:
1154938983
Certification Date:
2020-09-25

Authorized Person:

Name:
DR. MADISON J WILLS
Role:
CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006211049 2025-04-17
Annual Report 0005721057 2024-05-03
Annual Report 0005136769 2023-03-04
Annual Report 0004636027 2022-03-06
Annual Report 0004214780 2021-03-20

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State