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WHOLESOME HEALTH

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Company Details

Name: WHOLESOME HEALTH
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 28 Jan 2015 (11 years ago)
Entity Number: 533868
Place of Formation: IDAHO
File Number: 0000533868
Mailing Address: 2410 E 25TH ST IDAHO FALLS, ID 83404-7549

National Provider Identifier

NPI Number:
1942699715

Authorized Person:

Name:
LARAMIE LINNING WHEELER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2085425080

Filing

Filing Name Filing Number Filing date
Amendment of Mailing Address for Certificate of Assumed Business Name 0003482215 2019-04-17
Initial Filing 0000533868 2015-01-28

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State