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POLLY E. LEONARD, D.O. LTD.

Company Details

Name: POLLY E. LEONARD, D.O. LTD.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 07 May 1999 (26 years ago)
Date of Dissolution: 29 Jul 2021 (4 years ago)
Date of Status Change: 29 Jul 2021 (4 years ago)
Identification Number: 000106349
ZIP code: 02886
County: Kent County
Purpose: TO PRACTICE MEDICINE
Principal Address: Google Maps Logo 390 TOLLGATE ROAD SUITE 203, WARWICK, RI, 02886, 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

Agent

Name Role Address
POLLY E. LEONARD, D.O. Agent 390 TOLL GATE ROAD SUITE 203, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
POLLY E. LEONARD DO PRESIDENT 390 TOLLGATE ROAD, SUITE 203 WARWICK, RI 02886 USA

National Provider Identifier

NPI Number:
1972746550
Certification Date:
2025-02-06

Authorized Person:

Name:
DR. POLLY LEONARD
Role:
OWNER/DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
204D00000X - Neuromusculoskeletal Medicine & OMM Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8889483254

Form 5500 Series

Employer Identification Number (EIN):
050505196
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
3
Sponsors Telephone Number:

Filings

Number Name File Date
202199644890 Revocation Certificate For Failure to File the Annual Report for the Year 2021-07-29
202196792170 Revocation Notice For Failure to File An Annual Report 2021-05-19
202039919960 Annual Report 2020-05-11
201994459890 Annual Report 2019-05-24
201878190930 Annual Report 2018-09-24

Date of last update: 20 May 2025

Sources: Rhode Island Department of State