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EAGLE CHIROPRACTIC, PC

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Company Details

Name: EAGLE CHIROPRACTIC, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 13 May 1999 (26 years ago)
Financial Date End: 31 May 2026
Entity Number: 394317
Place of Formation: IDAHO
File Number: 394317
ZIP code: 83616
County: Ada County
Mailing Address: SHERRY 5337 W STATE ST EAGLE, ID 83616-4313

Agent

Name Role Address
SH NORD Agent 5337 W STATE ST, SHERRY, EAGLE, ID 83616

Secretary

Name Role Address Appointed On Resigned On
Sherry L Nord Secretary 5337 W STATE ST, EAGLE, ID 83616 2024-04-03 2024-04-03

President

Name Role Address Appointed On
SHAWN H NORD President 5337 W STATE ST, EAGLE, ID 83616 2021-04-05

National Provider Identifier

NPI Number:
1720188857

Authorized Person:

Name:
SHERRY LYNN NORD
Role:
SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2089394686

Filing

Filing Name Filing Number Filing date
Annual Report 0006196860 2025-04-06
Annual Report 0005671479 2024-04-03
Annual Report 0005222038 2023-05-03
Annual Report 0004685053 2022-04-04
Annual Report 0004229692 2021-04-05

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Date of last update: 30 Jun 2025

Sources: Idaho Secretary of State