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Rick Pongratz, PhD, PLLC
Company Details
| Name: |
Rick Pongratz, PhD, PLLC |
| Jurisdiction: |
Idaho |
| Legal type: |
Limited Liability Company (D) |
| Status: |
Active-Existing
|
| Date of registration: |
29 Jan 2025 (4 months ago)
|
| Financial Date End: |
31 Jan 2026 |
| Entity Number: |
6083191 |
| Place of Formation: |
IDAHO |
| File Number: |
975214 |
| ZIP code: |
83204
|
| County: |
Power County |
| Principal Address: |
1138 N GALE MOUNTAIN RD POCATELLO, ID 83204-7238 |
Agent
| Name |
Role |
Address |
|
Rick Pongratz
|
Agent
|
1138 N GALE MOUNTAIN RD, POCATELLO, ID 83204-7238
|
National Provider Identifier
Certification Date:
2025-02-02
Authorized Person:
Taxonomy:
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Contacts:
Filing
| Filing Name |
Filing Number |
Filing date |
|
Initial Filing
|
0006083191
|
2025-01-29
|
Date of last update: 23 May 2025
Sources:
Idaho Secretary of State
