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DANIEL T. SHREVE, M.D., INC.

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Company Details

Name: DANIEL T. SHREVE, M.D., INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 20 Mar 1978 (47 years ago)
Date of Dissolution: 14 Dec 2020 (5 years ago)
Date of Status Change: 14 Dec 2020 (5 years ago)
Identification Number: 000011175
Purpose: PHYSICIAN, MEDICAL OFFICE/PRACTICE AND SERVICES
Principal Address: Google Maps Logo C/O 55 ROBINCREST COURT, SEEKONK, MA, 02771, USA

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
DANIEL T. SHREVE Agent 47 HAZARD AVENUE, EAST PROVIDENCE, RI, 02914, USA

PRESIDENT

Name Role Address
DANIEL T SHREVE PRESIDENT 55 ROBINCREST COURT SEEKONK, MA 02771- USA

National Provider Identifier

NPI Number:
1730634254

Authorized Person:

Name:
DR. DANIEL T SHREVE
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
302F00000X - Exclusive Provider Organization
Is Primary:
No
Selected Taxonomy:
305S00000X - Point of Service
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4014344732

Form 5500 Series

Employer Identification Number (EIN):
050376045
Plan Year:
2017
Number Of Participants:
4
Sponsor's telephone number:
Plan Year:
2016
Number Of Participants:
4
Sponsor's telephone number:
Plan Year:
2015
Number Of Participants:
4
Sponsor's telephone number:
Plan Year:
2014
Number Of Participants:
4
Sponsor's telephone number:
Plan Administrator / Signatory:
DANIEL SHREVE(Plan administrator)
Plan Year:
2013
Number Of Participants:
4
Sponsor's telephone number:
Plan Administrator / Signatory:
DANIEL SHREVE(Plan administrator)

Filings

Number Name File Date
202079801010 Articles of Dissolution 2020-12-14
202037116460 Annual Report 2020-04-01
201920364720 Annual Report 2019-09-18
201906953050 Revocation Notice For Failure to File An Annual Report 2019-07-24
201855988400 Annual Report 2018-01-11

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Date of last update: 18 Jul 2025

Sources: Rhode Island Department of State