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ACTIVE LIVING CHIROPRACTIC & WELLNESS PLLC

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Company Details

Name: ACTIVE LIVING CHIROPRACTIC & WELLNESS PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 20 May 2015 (10 years ago)
Financial Date End: 31 May 2018
Date dissolved: 11 Sep 2018
Entity Number: 461799
Place of Formation: IDAHO
File Number: 0000461799
ZIP code: 83642
County: Ada County
Principal Address: 1710 W CHERRY LN MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1316415623

Authorized Person:

Name:
MRS. KRYSTA MILLER
Role:
BILLING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2085756114

Filing

Filing Name Filing Number Filing date
Legacy Amendment 0002944104 2018-06-26
Annual Report 0002944103 2017-03-28
Annual Report 0002944102 2016-05-19
Initial Filing 0000461799 2015-05-20

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State