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Complete Prosthetics & Orthotics, LLC

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Company Details

Name: Complete Prosthetics & Orthotics, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 23 Sep 2022 (3 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 4923851
Place of Formation: IDAHO
File Number: 842424
ZIP code: 83704
County: Ada County
Principal Address: GUNNAR MAUGHAN STE A 9632 W EMERALD ST BOISE, ID 83704
Mailing Address: GUNNAR MAUGHAN STE A 9632 W EMERALD ST BOISE, ID 83704-9762

Agent

Name Role Address
Gunnar H Maughan Agent 9632 W EMERALD ST, STE A, BOISE, ID 83704

Member

Name Role Address Appointed On
Gunnar H Maughan Member 9632 W EMERALD ST, BOISE, ID 83704 2023-08-06

National Provider Identifier

NPI Number:
1407631310
Certification Date:
2023-09-25

Authorized Person:

Name:
JANENE MAUGHAN
Role:
CLINIC ADMIN
Phone:

Taxonomy:

Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005853334 2024-08-09
Annual Report 0005354437 2023-08-06
Amendment to Certificate 0005292367 2023-06-24
Change of Registered Office/Agent/Both (by Entity) 0005206823 2023-04-20
Statement of Change of Business Mailing Address 0005206810 2023-04-20

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Date of last update: 24 Jul 2025

Sources: Idaho Secretary of State