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Rigby Lake Chiropractic P.C.

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Company Details

Name: Rigby Lake Chiropractic P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 01 Jun 2020 (5 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 3887482
Place of Formation: IDAHO
File Number: 711756
ZIP code: 83442
County: Jefferson County
Mailing Address: STE 1102 711 RIGBY LAKE DR RIGBY, ID 83442-5372

Agent

Name Role Address
UNITED STATES CORPORATION AGENTS INC Agent 800 W MAIN ST STE 1460, BOISE, ID 83702

Director

Name Role Address Appointed On Resigned On
Robert Reneau Director 425 5TH ST, IDAHO FALLS, ID 83401 2021-06-15 2022-05-30

President

Name Role Address Appointed On
Robert Reneau President 711 RIGBY LAKE DRIVE, RIGBY, ID 83442 2022-05-30

National Provider Identifier

NPI Number:
1699391417
Certification Date:
2020-06-17

Authorized Person:

Name:
DR. ROBERT ALAN RENEAU
Role:
CHIROPRACTOR/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005735101 2024-05-12
Annual Report 0005291860 2023-06-23
Annual Report 0004760566 2022-05-30
Annual Report 0004317734 2021-06-15
Statement of Change of Business Mailing Address 0003910901 2020-06-17

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Date of last update: 18 May 2025

Sources: Idaho Secretary of State