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Eric P. Berthiaume Medical, Inc.

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Company Details

Name: Eric P. Berthiaume Medical, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 24 Mar 2008 (17 years ago)
Date of Dissolution: 28 Feb 2012 (13 years ago)
Date of Status Change: 28 Feb 2012 (13 years ago)
Identification Number: 000319000
ZIP code: 02905
County: Providence County
Purpose: MEDICAL PRACTICE
Principal Address: Google Maps Logo 33 STANIFORD STREET, PROVIDENCE, RI, 02905, USA

Agent

Name Role Address
STEPHEN D. ZUBIAGO Agent NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
ERIC P BERTHIAUME MD PRESIDENT 33 STANIFORD STREET PROVIDENCE, RI 02905 USA

National Provider Identifier

NPI Number:
1477728624

Authorized Person:

Name:
DR. ERIC P. BERTHIAUME
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
4018864010

Form 5500 Series

Employer Identification Number (EIN):
262242558
Plan Year:
2012
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
1
Sponsors Telephone Number:

Filings

Number Name File Date
201290323750 Articles of Dissolution 2012-02-28
201174252080 Annual Report 2011-01-31
201058474610 Annual Report 2010-02-16
200943313380 Annual Report 2009-02-26
200808470450 Articles of Incorporation 2008-03-24

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Date of last update: 29 May 2025

Sources: Rhode Island Department of State