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Jean Plover, M.D. Family Practice, Inc.

Company Details

Name: Jean Plover, M.D. Family Practice, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 01 Jul 2002 (23 years ago)
Date of Dissolution: 12 Sep 2023 (2 years ago)
Date of Status Change: 12 Sep 2023 (2 years ago)
Identification Number: 000125650
ZIP code: 02905
County: Providence County
Purpose: RENDERING PROFESSIONAL MEDICAL HEALTH CARE SERVICES
Principal Address: Google Maps Logo 1660 BROAD STREET, CRANSTON, RI, 02905, 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

PRESIDENT

Name Role Address
JEAN PLOVER MD PRESIDENT 1660 BROAD STREET CRANSTON, RI 02905- USA

Agent

Name Role Address
ALAN R. TATE ESQ. Agent 40 WESTMINSTER STREET, PROVIDENCE, RI, 02903, USA

National Provider Identifier

NPI Number:
1619183407

Authorized Person:

Name:
JEAN PLOVER
Role:
PHYSICIAN OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4017848285

Filings

Number Name File Date
202341472250 Revocation Certificate For Failure to File the Annual Report for the Year 2023-09-12
202338058630 Revocation Notice For Failure to File An Annual Report 2023-06-19
202209330780 Annual Report 2022-02-03
202191697290 Annual Report 2021-02-17
202066953030 Annual Report 2020-10-21

Date of last update: 21 May 2025

Sources: Rhode Island Department of State