| 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 |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
New England Spine Care (trading name, 2012-10-09 - ) WESTERLY SPINE AND PAIN MEDICINE (trading name, 2006-11-28 - ) |
| 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 | |||||||||||||||
|
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| 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
