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BOWMAN CHIROPRACTIC

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Company Details

Name: BOWMAN CHIROPRACTIC
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 07 Nov 2012 (13 years ago)
Entity Number: 483236
Place of Formation: IDAHO
File Number: 0000483236
Mailing Address: 138 W CAMERON AVE KELLOGG, ID 83837-2305

ABN User

Name Role Address Appointed On
JARED BOWMAN ABN User 138 W CAMERON AVE, KELLOGG, ID 83837 2021-02-01

National Provider Identifier

NPI Number:
1154517530

Authorized Person:

Name:
DR. ERIC BOWMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2085474093

Filing

Filing Name Filing Number Filing date
Amendment of Certificate of Assumed Business Name 0004149565 2021-02-01
Initial Filing 0000483236 2012-11-07

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State