| Name: | Marzilli Chiropractic Center, LTD |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 Jun 2006 (19 years ago) |
| Identification Number: | 000156362 |
| ZIP code: | 02919 |
| County: | Providence County |
| Principal Address: | 1395 ATWOOD AVENUE SUITE 209E, JOHNSTON, RI, 02919, USA |
| Purpose: | CHIROPRACTIC |
| NAICS: | 621310 - Offices of Chiropractors |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114048634 | 2007-04-02 | 2020-08-22 | 1395 ATWOOD AVE, SUITE 108A, JOHNSTON, RI, 029194929, US | 1395 ATWOOD AVE, SUITE 108A, JOHNSTON, RI, 029194929, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-270-9595 |
| Fax | 4013835155 |
Authorized person
| Name | ROBERT B MARZILLI JR. |
| Role | PRESIDENT |
| Phone | 4012709595 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | DCP00391 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CHIP |
| Number | 405361 |
| State | RI |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 31611-2 |
| State | RI |
| Issuer | UNITED HEALTHCARE |
| Number | 44-00485 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ROBERT B. MARZILLI, JR. | Agent | 1395 ATWOOD AVENUE SUITE 108A, JOHNSTON, RI, 02919, USA |
| Name | Role | Address |
|---|---|---|
| ROBERT B MARZILLI, JR. DC | PRESIDENT | 1395 ATWOOD AVENUE, SUITE 209E JOHNSTON , RI 02919 USA |
| Name | Role | Address |
|---|---|---|
| ROBERT B. MARZILLI | OTHER OFFICER | 1395 ATWOOD AVENUE, SUITE 209E JOHNSTON, RI 02919 UNI |
| Number | Name | File Date |
|---|---|---|
| 202446987190 | Annual Report | 2024-02-21 |
| 202328181610 | Annual Report | 2023-02-12 |
| 202212674040 | Annual Report | 2022-03-12 |
| 202186870970 | Annual Report | 2021-01-18 |
| 202033170970 | Annual Report | 2020-01-23 |
| 201984314110 | Annual Report | 2019-01-12 |
| 201859821460 | Annual Report | 2018-03-05 |
| 201730088580 | Annual Report | 2017-01-13 |
| 201690362250 | Annual Report | 2016-01-11 |
| 201553907460 | Annual Report | 2015-01-16 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
