| Name: | Coastal Neurology, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 04 Nov 1988 (36 years ago) |
| Date of Dissolution: | 09 Nov 2010 (14 years ago) |
| Date of Status Change: | 09 Nov 2010 (14 years ago) |
| Identification Number: | 000052086 |
| ZIP code: | 02891 |
| County: | Washington County |
| Principal Address: | 101 AIRPORT ROAD, WESTERLY, RI, 02891, USA |
| Purpose: | TO ENGAGE IN THE PRACTICE OF THE TREATMENT OF THE HUMAN SYSTEM AND NEUROLOGICAL DISORDERS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730376799 | 2007-10-03 | 2007-10-03 | 101 AIRPORT RD, WESTERLY, RI, 028913430, US | 101 AIRPORT RD, WESTERLY, RI, 028913430, US | |||||||||||||||||||
|
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| Phone | +1 401-596-6207 |
| Fax | 4015966238 |
Authorized person
| Name | DR. CARLO G BROGNA |
| Role | PRESIDENT |
| Phone | 4015966207 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | RI7007 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHN A. MURPHY, ESQ. | Agent | 77 NARRAGANSETT AVENUE, JAMESTOWN, RI, 02835, USA |
| Name | Role | Address |
|---|---|---|
| CARLO BROGNA MD | PRESIDENT | 101 AIRPORT ROAD WESTERLY, RI 02891 USA |
| CARLO G BROGNA MD | PRESIDENT | 33 DOCKRAY STREET WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| CARLO G BROGNA | TREASURER | 33 DOCKRAY STREET WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| CARLO G BROGNA | SECRETARY | 33 DOCKRAY ST WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| CARLO G BROGNGA | DIRECTOR | 33 DOCKRAY ST WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 201072002660 | Revocation Certificate For Failure to File the Annual Report for the Year | 2010-11-09 |
| 201063072700 | Revocation Notice For Failure to File An Annual Report | 2010-06-16 |
| 200944714690 | Annual Report | 2009-03-31 |
| 200811906610 | Annual Report | 2008-06-16 |
| 200702358980 | Annual Report | 2007-11-06 |
| 200702615920 | Revocation Notice For Failure to File An Annual Report | 2007-08-09 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
