| Name: | Walter Roettinger, M.D., Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 01 Jul 1985 (40 years ago) |
| Date of Dissolution: | 12 Sep 2023 (a year ago) |
| Date of Status Change: | 12 Sep 2023 (a year ago) |
| Identification Number: | 000035012 |
| ZIP code: | 02842 |
| County: | Newport County |
| Principal Address: | 294 VALLEY ROAD UNIT 4, MIDDLETOWN, RI, 02842, USA |
| Purpose: | MEDICAL PRACTICE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700031531 | 2008-11-20 | 2008-11-20 | 222 BELLEVUE AVE, NEWPORT, RI, 028403515, US | 222 BELLEVUE AVE, NEWPORT, RI, 028403515, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-849-2826 |
| Fax | 4018471695 |
Authorized person
| Name | WALTER FRANK ROETTINGER II |
| Role | PRESIDENT |
| Phone | 4018492826 |
Taxonomy
| Taxonomy Code | 208200000X - Plastic Surgery Physician |
| License Number | 4796 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WALTER F. ROETTINGER | Agent | 294 VALLEY ROAD UNIT 4, MIDDLETOWN, RI, 02842, USA |
| Name | Role | Address |
|---|---|---|
| WALTER F ROETTINGER | PRESIDENT | 294 VALLEY ROAD, UNIT 4 MIDDLETOWN, RI 02842 USA |
| Number | Name | File Date |
|---|---|---|
| 202341447500 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-12 |
| 202337995350 | Revocation Notice For Failure to File An Annual Report | 2023-06-19 |
| 202221202340 | Annual Report | 2022-07-13 |
| 202219998680 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202198385550 | Annual Report | 2021-06-14 |
| 202196740450 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202035659220 | Annual Report | 2020-02-28 |
| 201988519890 | Annual Report | 2019-03-11 |
| 201858774730 | Annual Report | 2018-02-20 |
| 201734652930 | Annual Report | 2017-02-21 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
