Name: | ADVANCED SPINE AND PAIN MANAGEMENT, INC. |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Dissolved |
Date of Organization in Rhode Island: | 28 Nov 2006 (18 years ago) |
Date of Dissolution: | 15 Jul 2021 (4 years ago) |
Date of Status Change: | 15 Jul 2021 (4 years ago) |
Identification Number: | 000159997 |
ZIP code: | 02891 |
County: | Washington County |
Principal Address: | 35 WELLS STREET, WESTERLY, RI, 02891, USA |
Purpose: | MEDICAL PRACTICE SPECIALIZING IN PAIN MANAGEMENT |
Fictitious names: |
New England Spine Care (trading name, 2012-10-09 - ) WESTERLY SPINE AND PAIN MEDICINE (trading name, 2006-11-28 - ) |
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 | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1235297854 | 2006-12-05 | 2013-01-04 | 25 WELLS ST, WESTERLY, RI, 028912922, US | 25 WELLS ST, WESTERLY, RI, 028912922, US | |||||||||||||||
|
Phone | +1 401-348-3865 |
Fax | 4013483641 |
Authorized person
Name | DR. ADRIAN KARL HAMBURGER |
Role | PRESIDENT |
Phone | 4013483865 |
Taxonomy
Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
WILLIAM A. NARDONE | Agent | 42 GRANITE STREET, WESTERLY, RI, 02891, USA |
Name | Role | Address |
---|---|---|
ADRIAN HAMBURGER MD | PRESIDENT | 25 WELLS STREET WESTERLY, RI 02891 USA |
Number | Name | File Date |
---|---|---|
202199323470 | Articles of Dissolution | 2021-07-15 |
202190340070 | Annual Report | 2021-02-05 |
202032981630 | Annual Report | 2020-01-21 |
201988072070 | Annual Report | 2019-02-27 |
201880861240 | Annual Report | 2018-11-05 |
201875528880 | Revocation Notice For Failure to File An Annual Report | 2018-08-24 |
201730516650 | Annual Report | 2017-01-19 |
201692430920 | Annual Report | 2016-02-12 |
201552987120 | Annual Report | 2015-01-08 |
201434476340 | Annual Report | 2014-01-28 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State