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JOHN L. CHRISTENSEN, PHD, PC

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Company Details

Name: JOHN L. CHRISTENSEN, PHD, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 18 Nov 2004 (21 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 478032
Place of Formation: IDAHO
File Number: 478032
ZIP code: 83202
County: Bannock County
Mailing Address: 13235 N MANNING LN POCATELLO, ID 83202-5184

Agent

Name Role Address
JOHN L CHRISTENSEN Agent 13235 N MANNING LANE, POCATELLO, ID 83202

President

Name Role Address Appointed On
John L Christensen President 13235 N MANNING LANE, POCATELLO, ID 83202 2020-11-03

Secretary

Name Role Address Appointed On Resigned On
Connie Nichole Christensen Secretary 13235 N MANNING LANE, POCATELLO, ID 83202 2023-10-03 2023-10-03

National Provider Identifier

NPI Number:
1245353440

Authorized Person:

Name:
NICHOLE CHRISTENSEN
Role:
SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
225C00000X - Rehabilitation Counselor
Is Primary:
Yes

Contacts:

Fax:
2082330159

Filing

Filing Name Filing Number Filing date
Annual Report 0005928470 2024-10-04
Annual Report 0005419837 2023-10-03
Annual Report 0004935501 2022-10-04
Annual Report 0004436222 2021-10-04
Annual Report 0004049994 2020-11-03

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State