| Name: | KRENSAVAGE CORPORATION |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 19 Jul 2004 (21 years ago) |
| Identification Number: | 000141669 |
| ZIP code: | 02871 |
| County: | Newport County |
| Principal Address: | 76 LAMBIE CIRCLE, PORTSMOUTH, RI, 02871, USA |
| Purpose: | MEDICAL TREATMENT FACILITY |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
Dr. Vein (trading name, 2008-03-27 - ) Vein Doctor (trading name, 2008-03-27 - ) LASER SKIN AND VEIN CENTER (trading name, 2006-02-09 - ) LASER SKIN CARE (trading name, 2005-10-11 - 2006-02-09) NEW ENGLAND VEIN CENTER (trading name, 2005-10-11 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669557914 | 2006-10-26 | 2020-08-22 | 2444 E MAIN RD, SUITE 3R, PORTSMOUTH, RI, 028714025, US | 2444 E MAIN RD, SUITE 3R, PORTSMOUTH, RI, 028714025, US | |||||||||||||||||||
|
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| Phone | +1 401-683-4300 |
| Fax | 4016834303 |
Authorized person
| Name | DR. THADDEUS J KRENSAVAGE |
| Role | PHYSICIAN |
| Phone | 4016834300 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | DO380 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ERIC P. CHAPPELL, ESQ. | Agent | 171 CHASE ROAD P.O. BOX 8, PORTSMOUTH, RI, 02871, USA |
| Name | Role | Address |
|---|---|---|
| THADDEUS J. KRENSAVAGE, D.O. | PRESIDENT | 76 LAMBIE CIRCLE PORTSMOUTH, RI 02871 USA |
| Number | Name | File Date |
|---|---|---|
| 202451172110 | Annual Report | 2024-04-15 |
| 202331294710 | Annual Report | 2023-03-15 |
| 202213161800 | Annual Report | 2022-03-16 |
| 202193573060 | Annual Report | 2021-03-03 |
| 202033716510 | Annual Report | 2020-02-03 |
| 201985444960 | Annual Report | 2019-01-28 |
| 201856615530 | Annual Report | 2018-01-22 |
| 201732193660 | Annual Report | 2017-02-03 |
| 201692272250 | Annual Report | 2016-02-10 |
| 201553905510 | Annual Report | 2015-01-16 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
