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IDAHO SPORTS BRACING

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Company Details

Name: IDAHO SPORTS BRACING
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 22 Jan 2018 (8 years ago)
Entity Number: 602448
Place of Formation: IDAHO
File Number: 0000602448
ZIP code: 83642
County: Ada County
Mailing Address: 1350 W JACKSNIPE DR MERIDIAN, ID 83642

Unique Entity ID

CAGE Code:
4NMA2
UEI Expiration Date:
2018-10-10

Business Information

Division Name:
IDAHO SPORTS BRACING, INC.
Activation Date:
2017-10-10
Initial Registration Date:
2007-02-11

National Provider Identifier

NPI Number:
1801023643

Authorized Person:

Name:
MRS. DANNETTE M PETERSON
Role:
SECRETARY TREASURER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
2088879235

Form 5500 Series

Employer Identification Number (EIN):
820502261
Plan Year:
2017
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
1
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000602448 2018-01-22

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State