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DR. JAMES D. TANNER, D.C., P.A.

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Company Details

Name: DR. JAMES D. TANNER, D.C., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 13 Sep 2007 (18 years ago)
Financial Date End: 30 Sep 2008
Date dissolved: 05 Dec 2008
Entity Number: 529749
Place of Formation: IDAHO
File Number: 0000529749
ZIP code: 83406
County: Bonneville County
Mailing Address: 6070 E SAGEWOOD DR IDAHO FALLS, ID 83406

National Provider Identifier

NPI Number:
1275715559

Authorized Person:

Name:
DR. JAMES D. TANNER
Role:
CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000529749 2007-09-13

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State