| Name: | KEENAN SPINE CENTER, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 28 Dec 2001 (23 years ago) |
| Date of Dissolution: | 04 Oct 2006 (18 years ago) |
| Date of Status Change: | 04 Oct 2006 (18 years ago) |
| Identification Number: | 000122024 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 14 HAYWARD STREET SUITE 4, CRANSTON, RI, 02910-, USA |
| Purpose: | TO RENDER CHIROPRACTIC SERVICES |
| Fictitious names: |
Advanced Integrated Medicine (trading name, 2002-12-05 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760521751 | 2007-02-06 | 2010-07-08 | PO BOX 20104, CRANSTON, RI, 029200927, US | 14 HAYWARD ST, SUITE 4, CRANSTON, RI, 029102750, US | |||||||||||||||||||||||
|
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| Phone | +1 401-572-3120 |
| Fax | 4015723351 |
| Phone | +1 401-223-1001 |
| Fax | 4012231002 |
Authorized person
| Name | DR. JOHN T KEENAN |
| Role | PRESIDENT |
| Phone | 4012231001 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 00421 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHN T. KEENAN, D.C. | Agent | 14 HAYWARD STREET SUITE 4, CRANSTON, RI, 02910, USA |
| Name | Role | Address |
|---|---|---|
| JOHN T KEENAN DC | PRESIDENT | 1254 SOUTH ROAD EAST GREENWICH, RI 02818- USA |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
