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  5. ENDOCRINE TREATMENT CENTERS, INC.

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 (26 years ago)
Date of Dissolution: 23 Aug 2019 (5 years ago)
Date of Status Change: 23 Aug 2019 (5 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.
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

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

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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