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TLC FAMILY CHIROPRACTIC

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Company Details

Name: TLC FAMILY CHIROPRACTIC
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 05 Feb 2010 (15 years ago)
Entity Number: 417208
Place of Formation: IDAHO
File Number: 0000417208
ZIP code: 83442
County: Jefferson County
Mailing Address: 430 N STATE ST RIGBY, ID 83442

National Provider Identifier

NPI Number:
1508070467

Authorized Person:

Name:
DR. TRACY ARTHUR MCCUISTION
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000417208 2010-02-05

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State