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Dr. Michael D. Rae, DC, PLLC

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Company Details

Name: Dr. Michael D. Rae, DC, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Apr 2022 (3 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 4705495
Place of Formation: IDAHO
File Number: 817840
ZIP code: 83706
County: Ada County
Principal Address: MICHAEL RAE 1729 S GRANT AVE BOISE, ID 83706
Mailing Address: DR. MICHAEL D. RAE, DC, PLCC STE 203A 1843 S BROADWAY AVE BOISE, ID 83706-3862

Agent

Name Role Address
Michael D Rae Agent 1843 S. BROADWAY AVE, SUITE 203A, BOISE, ID 83706

Manager

Name Role Address Appointed On
Michael D Rae DC Manager DR. MICHAEL D. RAE, DC, PLLC, BOISE, ID 83706 2023-03-07

National Provider Identifier

NPI Number:
1437877321
Certification Date:
2023-06-22

Authorized Person:

Name:
DR. MICHAEL D RAE
Role:
OWNER/ CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006240852 2025-05-06
Annual Report 0005635952 2024-03-05
Annual Report 0005142373 2023-03-07
Initial Filing 0004705495 2022-04-19

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State