| Name: | Aquene Holistic Chiropractic Center, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 12 Jul 2002 (23 years ago) |
| Date of Dissolution: | 30 Mar 2012 (13 years ago) |
| Date of Status Change: | 30 Mar 2012 (13 years ago) |
| Identification Number: | 000125855 |
| ZIP code: | 02889 |
| County: | Kent County |
| Principal Address: | 459 SANDY LANE, WARWICK, RI, 02889, USA |
| Purpose: | TO RENDER PROFESSIONAL SERVICES BY PERSONS AUTHORIZED TO PRACTICE CHIROPRACTIC MEDICINE IN THE STATE OF RHODE ISLAND |
| Fictitious names: |
AQUIDNECK ISLAND WELLNESS CENTER (trading name, 2003-09-25 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073710596 | 2007-06-28 | 2020-08-22 | 333 VALLEY RD, MIDDLETOWN, RI, 028427230, US | 333 VALLEY RD, MIDDLETOWN, RI, 028427230, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-845-9283 |
Authorized person
| Name | DR. KRISTINE DAWN THOMAS |
| Role | CHIROPRACTOR |
| Phone | 4018459283 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | DCP00403 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9714511 |
| State | MA |
| Issuer | BC BLUE CHIP |
| Number | CP 00408096 |
| State | RI |
| Issuer | BCBS |
| Number | 0000023204-001 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| DANIEL K. FLAHERTY, ESQ. | Agent | 33 COLLEGE HILL ROAD SUITE 20D, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| KRISTINE D. THOMAS, D.C. | PRESIDENT | P.O. BOX 7662 WARWICK, RI 02887 USA |
| Number | Name | File Date |
|---|---|---|
| 201291574610 | Annual Report | 2012-03-30 |
| 201291575130 | Articles of Dissolution | 2012-03-30 |
| 201186857460 | Annual Report | 2011-12-08 |
| 201182463700 | Revocation Notice For Failure to File An Annual Report | 2011-09-13 |
| 201060268700 | Annual Report | 2010-03-15 |
| 200943837110 | Annual Report | 2009-03-12 |
| 200809883330 | Annual Report | 2008-03-24 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
