| Name: | Lynn Ho MD, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 18 Jun 2004 (21 years ago) |
| Identification Number: | 000141051 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | 320 PHILLIPS STREET SUITE 102, NORTH KINGSTOWN, RI, 02852, USA |
| Purpose: | THE PRACTICE OF FAMILY MEDICINE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
North Kingstown Family Practice (trading name, 2004-06-29 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639170772 | 2005-08-10 | 2013-11-29 | 320 PHILLIPS ST, STE 102, NORTH KINGSTOWN, RI, 028525149, US | 320 PHILLIPS ST, STE 102, NORTH KINGSTOWN, RI, 028525149, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-667-2537 |
| Fax | 4016672538 |
Authorized person
| Name | DR. LYNN HO |
| Role | OWNER |
| Phone | 4016672537 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE GROUP NUMBER |
| Number | 709003652 |
| Name | Role | Address |
|---|---|---|
| LYNN HO | Agent | 110 NORTH ROAD, NORTH KINGSTOWN, RI, 02852, USA |
| Name | Role | Address |
|---|---|---|
| LYNN HO | PRESIDENT | 110 NORTH ROAD NORTH KINGSTOWN, RI 02874- USA |
| Number | Name | File Date |
|---|---|---|
| 202447323690 | Annual Report | 2024-02-27 |
| 202328624720 | Annual Report | 2023-02-16 |
| 202209510650 | Annual Report | 2022-02-06 |
| 202193476820 | Annual Report | 2021-03-02 |
| 202031453480 | Annual Report | 2020-01-09 |
| 201882941850 | Annual Report | 2018-12-19 |
| 201755359760 | Annual Report | 2017-12-26 |
| 201729349900 | Annual Report | 2017-01-02 |
| 201690008040 | Annual Report | 2016-01-04 |
| 201556010220 | Annual Report | 2015-03-02 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
