| 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 ChiropractorsThis industry comprises establishments of health practitioners having the degree of D.C. (Doctor of Chiropractic) primarily engaged in the independent practice of chiropractic. These practitioners provide diagnostic and therapeutic treatment of neuromusculoskeletal and related disorders through the manipulation and adjustment of the spinal column and extremities, and 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 | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2634647206 | 2020-04-16 | 0165 | PPP | 1395 Atwood Ave 209E, Johnston, RI, 02919 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4472588301 | 2021-01-23 | 0165 | PPS | 1395 Atwood Ave, Johnston, RI, 02919-4929 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
