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JEROME FAMILY CHIROPRACTIC LLC

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Company Details

Name: JEROME FAMILY CHIROPRACTIC LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 06 Oct 2017 (8 years ago)
Date dissolved: 14 Dec 2018
Entity Number: 574240
Place of Formation: IDAHO
File Number: 574240
ZIP code: 83338
County: Jerome County
Principal Address: 215 N LINCOLN AVE JEROME, ID 83338

Agent

Name Role Address
ALAN HANSON Agent 610 E AVE D, JEROME, ID 83338

National Provider Identifier

NPI Number:
1407367196

Authorized Person:

Name:
DR. ALAN HANSON
Role:
DOCTOR OF CHIROPRACTIC
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0003372588 2018-12-14
Annual Report 0003231284 2018-09-01
Statement of Change of Business Mailing Address 0003231283 2018-03-08
Initial Filing 0000574240 2017-10-06

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State