| 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 |
| 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 - ) |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| 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
