| Name: | CHIROPRACTIC HEALTH PARTNERS OF AMERICA, LTD. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 26 Aug 2004 (20 years ago) |
| Date of Dissolution: | 26 Nov 2007 (17 years ago) |
| Date of Status Change: | 26 Nov 2007 (17 years ago) |
| Identification Number: | 000142381 |
| ZIP code: | 02809 |
| County: | Bristol County |
| Principal Address: | 576 METACOM AVENUE SUITE 3, BRISTOL, RI, 02809-, USA |
| Purpose: | TO ENGAGE IN THE CHIROPRACTIC PROFESSION |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891828802 | 2007-03-13 | 2008-11-06 | 446 MAIN ST, WARREN, RI, 028854370, US | 446 MAIN ST, WARREN, RI, 028854370, US | |||||||||||||||||||||||||
|
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| Phone | +1 401-247-7442 |
| Fax | 4012477443 |
Authorized person
| Name | DR. DAVID MICHAEL SEQUINO |
| Role | PRESIDENT |
| Phone | 4012477442 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | DCP00507 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 29020-3 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| DAVID M. SEQUINO | Agent | 32 BASSWOOD DRIVE, BRISTOL, RI, 02809-, USA |
| Name | Role | Address |
|---|---|---|
| DAVID M SEQUINO | PRESIDENT | 32 BASSWOOD DRIVE BRISTOL, RI 02809- USA |
| Number | Name | File Date |
|---|---|---|
| 200703169170 | Revocation Certificate For Failure to File the Annual Report for the Year | 2007-11-26 |
| 200704503090 | Revocation Notice For Failure to File An Annual Report | 2007-08-09 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
