| Name: | JULIAN DEBRUYNKOPS, M.D., P.A. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 12 Jul 2018 (7 years ago) |
| Financial Date End: | 31 Jul 2025 |
| Entity Number: | 635913 |
| Place of Formation: | IDAHO |
| File Number: | 635913 |
| ZIP code: | 83402 |
| County: | Bonneville County |
| Mailing Address: | 428 PARK AVE IDAHO FALLS, ID 83402-3609 |
| Name | Role | Address |
|---|---|---|
| Gregory L. Crockett | Agent | 428 PARK AVENUE, ONE, IDAHO FALLS, ID 83402 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Constance DeBruynkops | Secretary | 2280 S. BOULEVARD, IDAHO FALLS, ID 83402 | 2023-08-03 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Julian DeBruynkops | President | 2065 E. 17TH STREET, IDAHO FALLS, ID 83402 | 2021-06-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005797955 | 2024-07-03 |
| Annual Report | 0005345481 | 2023-08-03 |
| Annual Report | 0004772722 | 2022-06-06 |
| Annual Report | 0004302897 | 2021-06-03 |
| Annual Report | 0003890567 | 2020-06-03 |
Date of last update: 16 May 2025
Sources: Idaho Secretary of State
