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BRIAN J. DECKER, MSN, FNPC, PC

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Company Details

Name: BRIAN J. DECKER, MSN, FNPC, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 19 Dec 2005 (19 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 497569
Place of Formation: IDAHO
File Number: 497569
ZIP code: 83442
County: Jefferson County
Mailing Address: BRIAN DECKER 3863 E 300 N RIGBY, ID 83442-5423

Agent

Name Role Address
BRIAN J DECKER Agent 3863 E 300 N, RIGBY, ID 83442

President

Name Role Address Appointed On
Brian Decker President 3863 E 300 300 N, RIGBY, ID 83442 2021-01-05

Director

Name Role Address Appointed On
Jenny Decker Director 3863 E 300 300 N, RIGBY, ID 83442 2024-02-13

National Provider Identifier

NPI Number:
1184496515
Certification Date:
2023-10-28

Authorized Person:

Name:
BRIAN J DECKER
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0006199550 2025-04-08
Dissolution/Revocation - Administrative 0006171777 2025-03-25
Annual Report 0005602301 2024-02-13
Annual Report 0005160286 2023-03-19
Annual Report 0004551662 2022-01-03

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Date of last update: 06 Jun 2025

Sources: Idaho Secretary of State