Search icon

JASON CHAMPAGNE IDAHO 4, PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: JASON CHAMPAGNE IDAHO 4, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Mar 2024 (a year ago)
Financial Date End: 31 Mar 2026
Entity Number: 5661835
Place of Formation: IDAHO
File Number: 929013
Principal Address: SUITE 3 255 GLENDALE AVE SPARKS, NV 89431
Mailing Address: STE 3 255 GLENDALE AVE SPARKS, NV 89431-5777

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Managing Member

Name Role Address Appointed On
JASON CHAMPAGNE Managing Member 255 GLENDALE AVE, SPARKS, NV 89431 2025-03-05

National Provider Identifier

NPI Number:
1508614033
Certification Date:
2024-05-09

Authorized Person:

Name:
JASON CHAMPAGNE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006144351 2025-03-05
Initial Filing 0005661835 2024-03-28

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 22 May 2025

Sources: Idaho Secretary of State