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CLEVERLEY CHIROPRACTIC, INC.

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Company Details

Name: CLEVERLEY CHIROPRACTIC, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 13 Nov 2008 (17 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 546825
Place of Formation: IDAHO
File Number: 546825
ZIP code: 83316
County: Twin Falls County
Mailing Address: JUSTIN CLEVERLEY 720 HIGHWAY 30 BUHL, ID 83316-5039

Agent

Name Role Address
JUSTIN CLEVERLEY Agent 800 MAIN ST, BUHL, ID 83316

President

Name Role Address Appointed On Resigned On
Cleverley Chiropractic President 800 MAIN ST, BUHL, ID 83316 2020-11-04 2022-12-21
Justin Cleverley President 720 HIGHWAY 30, BUHL, ID 83316 2024-11-06 No data

National Provider Identifier

NPI Number:
1972780260
Certification Date:
2023-12-05

Authorized Person:

Name:
MANDY CLEVERLEY
Role:
SECRETARY/OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2085434172

Filing

Filing Name Filing Number Filing date
Annual Report 0005969266 2024-11-06
Application for Reinstatement 0005791814 2024-06-28
Dissolution/Revocation - Administrative 0005620871 2024-03-01
Statement of Change of Business Mailing Address 0005621321 2024-03-01
Annual Report 0005035587 2022-12-21

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Date of last update: 08 Jun 2025

Sources: Idaho Secretary of State