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Providence Chiropractic Clinic, Inc.

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Company Details

Name: Providence Chiropractic Clinic, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 30 Nov 1998 (27 years ago)
Identification Number: 000103661
ZIP code: 02904
City: Providence
County: Providence County
Purpose: CHIROPRACTOR PRACTICE
Fictitious names: Health Source of North Providence (trading name, 2013-03-04 - 2016-12-28)
Principal Address: Google Maps Logo 1637 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI, 02904, USA

Industry & Business Activity

NAICS

621320 Offices of Optometrists

This industry comprises establishments of health practitioners having the degree of O.D. (Doctor of Optometry) primarily engaged in the independent practice of optometry. These practitioners examine, diagnose, treat, and manage diseases and disorders of the visual system, the eye, and associated structures as well as diagnose related systemic conditions. Offices of optometrists prescribe and/or provide eyeglasses, contact lenses, low vision aids, and vision therapy. They 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, and may also provide the same services as opticians, such as selling and fitting prescription eyeglasses and contact lenses. Learn more at the U.S. Census Bureau

PRESIDENT

Name Role Address
MICHAEL A LANCELLOTTI PRESIDENT 1637 MINERAL SPRING AVENUE, SUITE 405 NORTH PROVIDENCE, RI 02904 USA

Agent

Name Role Address
DAVID P. VALLETTA, ESQ. Agent 1536 WESTMINSTER STREET, PROVIDENCE, RI, 02909, USA

National Provider Identifier

NPI Number:
1043376684
Certification Date:
2024-12-04

Authorized Person:

Name:
DR. MICHAEL ANTHONY LANCELLOTTI
Role:
DOCTOR OF CHIROPRACTIC
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
4013545122

Filings

Number Name File Date
202450422630 Annual Report 2024-04-08
202334466240 Annual Report 2023-04-27
202214594940 Annual Report 2022-04-07
202192451990 Annual Report 2021-02-18
202191429260 Statement of Change of Registered/Resident Agent Office 2021-02-16

Uniform Commercial Code

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2025-05-06
Action:
InitialFiling

Parties

Party Name:
Providence Chiropractic Clinic, Inc.
Party Role:
Debtor(s)
Party Name:
MICHAEL LANCELLOTTI
Party Role:
Debtor(s)
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2021-12-29
Action:
Continuation

Parties

Party Name:
Providence Chiropractic Clinic, Inc.
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2017-01-05

Parties

Party Name:
Providence Chiropractic Clinic, Inc.
Party Role:
Debtor(s)
Party Role:
Secured Parties

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$21,922.5
Date Approved:
2021-01-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$21,922.5
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$22,079.61
Servicing Lender:
Itria Ventures LLC
Use of Proceeds:
Payroll: $21,917.5
Utilities: $1
Jobs Reported:
5
Initial Approval Amount:
$21,900
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$21,900
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$22,192
Servicing Lender:
Navigant CU
Use of Proceeds:
Payroll: $16,000
Utilities: $1,900
Rent: $4,000

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Date of last update: 09 Jul 2025

Sources: Rhode Island Department of State