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Ami Owen, PLLC

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Company Details

Name: Ami Owen, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 May 2020 (5 years ago)
Financial Date End: 31 May 2026
Entity Number: 3868362
Place of Formation: IDAHO
File Number: 708601
ZIP code: 83669
County: Ada County
Principal Address: 2121 N GARNET CREEK AVE STAR, ID 83669
Mailing Address: 2121 N GARNET CREEK AVE STAR, ID 83669-8001

Agent

Name Role Address
Ami Owen Agent 2121 N GARNET CREEK AVE, STAR, ID 83669

Manager

Name Role Address Appointed On
Ami Owen Manager 4921 W EAGLE LANDING CT, EAGLE, ID 83616 2021-04-03

National Provider Identifier

NPI Number:
1275262727
Certification Date:
2024-03-05

Authorized Person:

Name:
AMI OWEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
2089068680

Filing

Filing Name Filing Number Filing date
Annual Report 0006181452 2025-04-02
Annual Report 0005666824 2024-04-03
Amendment to Certificate 0005638457 2024-03-06
Statement of Change of Business Mailing Address 0005638423 2024-03-06
Change of Registered Office/Agent/Both (by Entity) 0005638428 2024-03-06

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State