| Name: | East Greenwich Spine and Sport, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 16 May 2006 (19 years ago) |
| Date of Dissolution: | 29 Mar 2018 (7 years ago) |
| Date of Status Change: | 29 Mar 2018 (7 years ago) |
| Identification Number: | 000156191 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 1351 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818, USA |
| Purpose: | MEDICAL SERVICES |
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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588689129 | 2006-07-13 | 2016-04-01 | 1351 S COUNTY TRL, BLG 1, SUITE100, EAST GREENWICH, RI, 028185079, US | 1351 S COUNTY TRL, BLG 1, SUITE 100, EAST GREENWICH, RI, 028185079, US | |||||||||||||||||
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| Phone | +1 401-886-5907 |
| Fax | 4018856071 |
Authorized person
| Name | MATTHEW JOSEPH SMITH |
| Role | MANAGING PARTNER |
| Phone | 4018865907 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| MATTHEW J SMITH MD | PRESIDENT | 1351 SOUTH COUNTY TRAIL EAST GREENWICH, RI 02818 USA |
| Number | Name | File Date |
|---|---|---|
| 201861191450 | Annual Report | 2018-03-29 |
| 201861191630 | Articles of Dissolution | 2018-03-29 |
| 201737536660 | Annual Report | 2017-03-06 |
| 201693081130 | Annual Report | 2016-02-24 |
| 201556973110 | Annual Report | 2015-03-11 |
| 201436396420 | Annual Report | 2014-02-27 |
| 201313789880 | Annual Report | 2013-03-11 |
| 201290845090 | Annual Report | 2012-03-09 |
| 201176387050 | Annual Report | 2011-03-09 |
| 201058749330 | Annual Report | 2010-02-18 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
