| Name: | Andrew T. Crellin D.C., R.P.T., INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 30 Oct 2003 (21 years ago) |
| Identification Number: | 000135646 |
| ZIP code: | 02893 |
| County: | Kent County |
| Principal Address: | 328 COWESETT AVENUE STE 7, WEST WARWICK, RI, 02893, USA |
| Purpose: | TO PROVIDE PERFORM AND RENDER PROFESSIONAL CHIROPRACTIC SERVICES TO THE GENERAL PUBLIC |
| NAICS: | 621310 - Offices of Chiropractors |
| Fictitious names: |
Cowesett Chiropractic (trading name, 2003-10-30 - ) Pawtuxet Valley Chiropractic (trading name, 2003-10-30 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134381510 | 2008-06-27 | 2008-06-27 | 328 COWESETT AVE, SUITE 8, WEST WARWICK, RI, 028932248, US | 328 COWESETT AVE, SUITE 8, WEST WARWICK, RI, 028932248, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-821-6091 |
| Fax | 4018211880 |
Authorized person
| Name | DR. ANDREW THOMAS CRELLIN |
| Role | OWNER |
| Phone | 4018216091 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| License Number | RIDC301 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANDREW CRELLIN | Agent | 328 COWESETT AVENUE SUITE 8, WEST WARWICK, RI, 02893, USA |
| Name | Role | Address |
|---|---|---|
| ANDREW T CRELLIN DC | PRESIDENT | 328 COWESETT AVENUE WEST WARWICK, RI 02893- USA |
| Number | Name | File Date |
|---|---|---|
| 202453045250 | Annual Report | 2024-04-29 |
| 202326261620 | Annual Report | 2023-01-19 |
| 202217531050 | Annual Report | 2022-05-19 |
| 202184576450 | Annual Report | 2021-01-06 |
| 202036121140 | Annual Report | 2020-03-09 |
| 201919269380 | Annual Report | 2019-09-11 |
| 201907048160 | Revocation Notice For Failure to File An Annual Report | 2019-07-24 |
| 201985935440 | Statement of Change of Registered/Resident Agent | 2019-02-04 |
| 201983623420 | Revocation Notice For Failure to Maintain a Registered Office | 2019-01-03 |
| 201883329170 | Registered Office Not Maintained | 2018-12-24 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
