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Big Sky Chiropractic, PLLC

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Company Details

Name: Big Sky Chiropractic, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Sep 2020 (5 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 4011177
Place of Formation: IDAHO
File Number: 727283
ZIP code: 83638
County: Valley County
Principal Address: STE 101 106 EAST PARK STREET MCCALL, ID 83638
Mailing Address: PO BOX 2024 MCCALL, ID 83638-2024

Agent

Name Role Address
KATHLEEN MCGOWAN Agent 106 E PARK ST, STE 101, MCCALL, ID 83638

Manager

Name Role Address Appointed On
KATHLEEN MCGOWAN Manager 106 E PARK ST, MCCALL, ID 83638 2021-10-20

National Provider Identifier

NPI Number:
1063148476
Certification Date:
2022-07-27

Authorized Person:

Name:
JESSICA PITRE
Role:
BILLING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2086306281

Filing

Filing Name Filing Number Filing date
Annual Report 0005838966 2024-08-04
Annual Report 0005344544 2023-08-03
Annual Report 0004838625 2022-08-03
Annual Report 0004453824 2021-10-20
Initial Filing 0004011177 2020-09-24

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Date of last update: 18 May 2025

Sources: Idaho Secretary of State