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Warren Family Practice Associates, Inc.

Warren Family Practice Associates, Inc.

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Company Details

Name:	Warren Family Practice Associates, Inc.
Jurisdiction:	Rhode Island
Entity type:	Domestic Profit Corporation
Status:	Dissolved
Date of Organization in Rhode Island:	28 Jul 1994 (31 years ago)
Date of Dissolution:	07 Mar 2019 (6 years ago)
Date of Status Change:	07 Mar 2019 (6 years ago)
Identification Number:	000080648
ZIP code:	02885
City:	Warren
County:	Bristol County
Purpose:	TO ENGAGE IN THE PRACTICE OF MEDICINE.
Principal Address:	851 MAIN STREET, WARREN, RI, 02885, 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

TREASURER

Name	Role	Address
MELYSSA PAIGE LEIBOWITZ	TREASURER	C/O 851 MAIN STREET WARREN, RI 02885 USA

PRESIDENT

Name	Role	Address
DAVID LEIBOWITZ DO	PRESIDENT	8 TALL PINES ROAD BARRINGTON, RI 02806 USA

VICE PRESIDENT

Name	Role	Address
PEGGY ANN LEIBOWITZ	VICE PRESIDENT	C/O 851 MAIN STREET WARREN, RI 02885 USA

DIRECTOR

Name	Role	Address
DAVID LEIBOWITZ DO	DIRECTOR	8 TALL PINES ROAD BARRINGTON, RI 02806 USA

Agent

Name	Role	Address
HASLAW, INC.	Agent	100 WESTMINSTER STREET SUITE 1500 C/O HINCKLEY ALLEN & SNYDER LLP, PROVIDENCE, RI, 02903, USA

SECRETARY

Name	Role	Address
JOSHUA SEAN LEIBOWITZ	SECRETARY	C/O 851 MAIN STREET WARREN, RI 02885 USA

Unique Entity ID

CAGE Code:

7TV64

UEI Expiration Date:

2018-03-21

Business Information

Doing Business As:

(AFF: RHODE ISLAND HOSPITAL)

Activation Date:

2017-03-21

Initial Registration Date:

2017-03-15

Commercial and government entity program

CAGE number:

7TV64

Status:

Obsolete

Type:

Non-Manufacturer

CAGE Update Date:

2024-02-26

CAGE Expiration:

2022-03-21

Contact Information

POC:

DAVID LEIBOWITZ

National Provider Identifier

NPI Number:

1427198175

Link:

View on NPI website

Authorized Person:

Name:

MR. KENNY HEINE

Role:

DIRECTOR OF OPERATIONS

Phone:

8586252990

Taxonomy:

Selected Taxonomy:

332900000X - Non-Pharmacy Dispensing Site

Is Primary:

Yes

Contacts: