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DANIEL J. ALLEN, DO, P.C.

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Company Details

Name: DANIEL J. ALLEN, DO, P.C.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 01 Feb 2023 (3 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 602842
Place of Formation: IDAHO
File Number: 602842
ZIP code: 83646
County: Ada County
Mailing Address: DAN ALLEN STE 100 1430 W USTICK RD MERIDIAN, ID 83646-7734

Agent

Name Role Address
DANIEL J ALLEN Agent 6712 N DOUBLE EAGLE LANE, DAN ALLEN, MERIDIAN, ID 83646

President

Name Role Address Appointed On Resigned On
DANIEL J ALLEN President PO BOX 45247, BOISE, ID 83711-5247 2020-09-03 2023-02-01

Director

Name Role Address Appointed On
Daniel J Allen Director 6712 N DOUBLE EAGLE LANE, MERIDIAN, ID 83646 2023-02-01

National Provider Identifier

NPI Number:
1861995102
Certification Date:
2021-01-26

Authorized Person:

Name:
DANIEL J ALLEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8889902969

Filing

Filing Name Filing Number Filing date
Annual Report 0006098915 2025-02-05
Statement of Change of Business Mailing Address 0005745099 2024-05-22
Annual Report 0005560595 2024-01-12
Annual Report 0005441427 2023-10-16
Statement of Domestication In 0005087936 2023-02-01

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Date of last update: 14 Aug 2025

Sources: Idaho Secretary of State