| Name: | JOHN CHAFFEY, D.O., Ltd. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 22 May 2003 (22 years ago) |
| Date of Dissolution: | 24 Feb 2020 (5 years ago) |
| Date of Status Change: | 24 Feb 2020 (5 years ago) |
| Identification Number: | 000132237 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 215 TOLL GATE ROAD SUITE 209, WARWICK, RI, 02886, USA |
| Purpose: | TO ENGAGE IN THE GENERAL PRACTICE OF MEDICINE AND OSTEOPATHY AND RELATED SERVICES |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609918754 | 2007-02-13 | 2012-10-17 | 5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA, 921211705, US | 215 TOLL GATE RD, SUITE 209, WARWICK, RI, 028864458, US | |||||||||||||||||
|
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| Phone | +1 401-825-8200 |
Authorized person
| Name | KENNY HEINE |
| Role | DIR. OF OPERATIONS |
| Phone | 8586252990 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| License Number | MD11590 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JARED M. TOMASSI, ESQ. | Agent | 188 SARGENT STREET, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| JOHN CHAFFEY | PRESIDENT | 215 TOLLGATE ROAD, SUITE 209 WARWICK, RI 02886 USA |
| Name | Role | Address |
|---|---|---|
| JARED TOMASSI | OTHER OFFICER | 188 SARGENT STREET WARWICK, RI 02888 UNI |
| Number | Name | File Date |
|---|---|---|
| 202035009520 | Articles of Dissolution | 2020-02-24 |
| 201985134960 | Annual Report | 2019-01-25 |
| 201859420960 | Annual Report | 2018-02-28 |
| 201734320910 | Annual Report | 2017-02-17 |
| 201734320550 | Statement of Change of Registered/Resident Agent Office | 2017-02-17 |
| 201692013330 | Annual Report | 2016-02-05 |
| 201555469920 | Statement of Change of Registered/Resident Agent Office | 2015-02-23 |
| 201555470070 | Annual Report | 2015-02-21 |
| 201434190480 | Annual Report | 2014-01-23 |
| 201312495070 | Annual Report | 2013-02-23 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
