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Max Hansen Surgery, PLLC
Company Details
| Name: |
Max Hansen Surgery, PLLC |
| Jurisdiction: |
Idaho |
| Legal type: |
Limited Liability Company (D) |
| Status: |
Active-Existing
|
| Date of registration: |
15 Feb 2022 (3 years ago)
|
| Financial Date End: |
28 Feb 2026 |
| Entity Number: |
4612615 |
| Place of Formation: |
IDAHO |
| File Number: |
806124 |
| ZIP code: |
83440
|
| County: |
Madison County |
| Principal Address: |
MAX HANSEN #100 381 E. 4TH N. REXBURG, ID 83440 |
| Mailing Address: |
MAX HANSEN PO BOX 185 REXBURG, ID 83440-0185 |
Agent
| Name |
Role |
Address |
|
Dwayne M. Hansen, Jr.
|
Agent
|
381 E 4TH N, # 100, REXBURG, ID 83440
|
Manager
| Name |
Role |
Address |
Appointed On |
|
Dwayne Maxwell Hansen Jr.
|
Manager
|
381 E. 4TH N., REXBURG, ID 83440
|
2023-03-09
|
National Provider Identifier
Certification Date:
2022-03-15
Authorized Person:
Name:
DWAYNE MAXWELL HANSEN JR.
Role:
DOCTOR OF OSTEOPATH - SURGEON
Taxonomy:
Selected Taxonomy:
208600000X - Surgery Physician
Contacts:
This company hasn't received any reviews.
Date of last update: 20 May 2025
Sources:
Idaho Secretary of State
