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Premier Sports & Spine PLLC

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Company Details

Name: Premier Sports & Spine PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 Apr 2023 (2 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 5214911
Place of Formation: IDAHO
File Number: 876808
ZIP code: 83406
County: Bonneville County
Principal Address: 1320 S AMMON RD AMMON, ID 83406
Mailing Address: ZACH LOVELL 1547 MIDWAY AVE AMMON, ID 83406-5810

Agent

Name Role Address
Zachary S Lovell Agent 1786 47TH ST, AMMON, ID 83401

Manager

Name Role Address Appointed On
Zachary S Lovell Manager 1786 47TH ST, AMMON, ID 83401 2024-06-28

National Provider Identifier

NPI Number:
1023793361
Certification Date:
2023-06-15

Authorized Person:

Name:
DR. ZACHARY STEVEN LOVELL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2085426353

Filing

Filing Name Filing Number Filing date
Annual Report 0006249133 2025-05-12
Annual Report 0005791993 2024-06-28
Amendment to Certificate 0005268247 2023-06-05
Initial Filing 0005214911 2023-04-30

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Date of last update: 20 Jun 2025

Sources: Idaho Secretary of State