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DRPenner, LLC

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Company Details

Name: DRPenner, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 09 Jun 2023 (2 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 5274071
Place of Formation: IDAHO
File Number: 883264
ZIP code: 83605
County: Canyon County
Principal Address: 108 E. PINE ST. CALDWELL, ID 83605
Mailing Address: 108 E PINE ST CALDWELL, ID 83605-4836

Agent

Name Role Address
Devon Penner Agent 108 E PINE ST, CALDWELL, ID 83605

Member

Name Role Address Appointed On
Richard Penner Member 108 E. PINE ST., CALDWELL, ID 83605 2024-05-07
Devon Penner Member 108 E. PINE ST., CALDWELL, ID 83605 2024-05-07

National Provider Identifier

NPI Number:
1992570550
Certification Date:
2023-11-22

Authorized Person:

Name:
DEVON PENNER
Role:
CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005728291 2024-05-07
Initial Filing 0005274071 2023-06-09

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Date of last update: 26 Mar 2025

Sources: Idaho Secretary of State