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JOHNSON FAMILY CHIROPRACTIC & SPORTS CLINIC PLLC.

Company Details

Name: JOHNSON FAMILY CHIROPRACTIC & SPORTS CLINIC PLLC.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 02 Jan 2018 (7 years ago)
Financial Date End: 31 Jan 2026
Date dissolved: 12 Apr 2024
Entity Number: 586122
Place of Formation: IDAHO
File Number: 586122
ZIP code: 83201
County: Bannock County
Mailing Address: 2745 POLE LINE RD POCATELLO, ID 83201-6111

Agent

Name Role Address
GARY JOHNSON Agent 2115 PINTO AVE, POCATELLO, ID 83201

Manager

Name Role Address Appointed On
Gary Johnson Manager 2745 POLE LINE RD., POCATELLO, ID 83201 2022-12-22

National Provider Identifier

NPI Number:
1679058093

Authorized Person:

Name:
GARY L JOHNSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0006205409 2025-04-11
Dissolution/Revocation - Administrative 0005689659 2024-04-12
Application for Reinstatement 0005036569 2022-12-22
Dissolution/Revocation - Administrative 0003838550 2020-04-08
Annual Report 0003408005 2019-01-23

Date of last update: 15 May 2025

Sources: Idaho Secretary of State