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ENDOCRINE TREATMENT CENTERS, INC.

Company Details

Name: ENDOCRINE TREATMENT CENTERS, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 02 Sep 1998 (27 years ago)
Date of Dissolution: 23 Aug 2019 (6 years ago)
Date of Status Change: 23 Aug 2019 (6 years ago)
Identification Number: 000102374
ZIP code: 02865
County: Providence County
Principal Address: 2 WAKE ROBIN ROAD SUITE 207, LINCOLN, RI, 02865, USA
Purpose: MEDICAL PRACTICE AND OFFICE.

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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104934652 2006-08-25 2015-12-17 2 WAKE ROBIN RD, SUITE 207, LINCOLN, RI, 028654295, US 2 WAKE ROBIN RD, SUITE 207, LINCOLN, RI, 028654295, US

Contacts

Phone +1 401-334-2242
Fax 4013340376

Authorized person

Name DR. MICHAEL DAVID HEIN
Role PRESIDENT AND CEO
Phone 4013342242

Taxonomy

Taxonomy Code 207RE0101X - Endocrinology, Diabetes & Metabolism Physician
License Number MD07593
State RI
Is Primary Yes

Other Provider Identifiers

Issuer MEDICARE
Number 469080270
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ENDOCRINE TREATMENT CENTERS INC 401K PROFIT SHARING PLAN & TRUST 2018 050503963 2019-05-22 ENDOCRINE TREATMENT CENTERS INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4013342242
Plan sponsor’s address 2 WAKE ROBIN RD, SUITE 207, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2019-05-22
Name of individual signing MICHAEL HEIN
Valid signature Filed with authorized/valid electronic signature
ENDOCRINE TREATMENT CENTERS INC 401K PROFIT SHARING PLAN & TRUST 2017 050503963 2018-06-14 ENDOCRINE TREATMENT CENTERS INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4013342242
Plan sponsor’s address 2 WAKE ROBIN RD, SUITE 207, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2018-06-14
Name of individual signing MICHAEL HEIN
Valid signature Filed with authorized/valid electronic signature
ENDOCRINE TREATMENT CENTERS INC 401K PROFIT SHARING PLAN & TRUST 2016 050503963 2017-06-28 ENDOCRINE TREATMENT CENTERS INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4013342242
Plan sponsor’s address 2 WAKE ROBIN RD, SUITE 207, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2017-06-28
Name of individual signing MICHAEL HEIN
Valid signature Filed with authorized/valid electronic signature
ENDOCRINE TREATMENT CENTERS INC 401K PROFIT SHARING PLAN & TRUST 2015 050503963 2016-06-30 ENDOCRINE TREATMENT CENTERS INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4013342242
Plan sponsor’s address 2 WAKE ROBIN RD, SUITE 207, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2016-06-30
Name of individual signing MICHAEL HEIN
Valid signature Filed with authorized/valid electronic signature
ENDOCRINE TREATMENT CENTERS INC 401K PROFIT SHARING PLAN & TRUST 2014 050503963 2015-08-09 ENDOCRINE TREATMENT CENTERS INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4013342242
Plan sponsor’s address 2 WAKE ROBIN RD, SUITE 207, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2015-08-09
Name of individual signing MICHAEL HEIN
Valid signature Filed with authorized/valid electronic signature
ENDOCRINE TREATMENT CENTERS INC 401K PROFIT SHARING PLAN & TRUST 2013 050503963 2014-07-06 ENDOCRINE TREATMENT CENTERS INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4013342242
Plan sponsor’s address 2 WAKE ROBIN RD, SUITE 207, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2014-07-06
Name of individual signing MICHAEL HEIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MICHAEL D. HEIN Agent 2 WAKE ROBIN ROAD SUITE 207, LINCOLN, RI, 02865, USA

PRESIDENT

Name Role Address
MICHAEL DAVID HEIN MD PRESIDENT 2 WAKE ROBIN ROAD LINCOLN, RI 02865 USA

Filings

Number Name File Date
201914857780 Articles of Dissolution 2019-08-23
201983493960 Annual Report 2019-01-01
201755340830 Annual Report 2017-12-26
201730170500 Annual Report 2017-01-17
201692419420 Annual Report 2016-02-14
201552940170 Statement of Change of Registered/Resident Agent Office 2015-01-07
201552922860 Annual Report 2015-01-07
201552634330 Revocation Notice For Failure to Maintain a Registered Office 2015-01-02
201552602320 Registered Office Not Maintained 2014-12-26
201433661440 Annual Report 2014-01-19

Date of last update: 09 Apr 2025

Sources: Rhode Island Department of State