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Providence Integrative Wellness, Inc.

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Company Details

Name: Providence Integrative Wellness, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 28 Jan 2009 (16 years ago)
Date of Dissolution: 28 Aug 2013 (12 years ago)
Date of Status Change: 28 Aug 2013 (12 years ago)
Identification Number: 000500924
ZIP code: 02906
County: Providence County
Purpose: Health Care Office- Pediatrics Title: 7-1.2-1701
Principal Address: Google Maps Logo 182 GANO STREET, PROVIDENCE, RI, 02906, USA

Agent

Name Role Address
JULIAN GINSBERG-PELTZ Agent 46 IVY STREET, PROVIDENCE, RI, 02906, USA

PRESIDENT

Name Role Address
JULIEN DANIEL GINSBERG-PELTZ DR PRESIDENT 46 IVY STREET PROVIDENCE, RI 02906 USA

OTHER OFFICER

Name Role Address
JULIEN GINSBERG-PELTZ OTHER OFFICER 46 IVY STREET PROVIDENCE, RI 02906 UNI

National Provider Identifier

NPI Number:
1609001585

Authorized Person:

Name:
DR. JULIEN D. GINSBERG-SELTZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
4018611055

Filings

Number Name File Date
201327333220 Revocation Certificate For Failure to File the Annual Report for the Year 2013-08-28
201321983700 Revocation Notice For Failure to File An Annual Report 2013-06-03
201287443120 Annual Report 2012-01-02
201072945570 Annual Report 2010-12-28
201064332740 Annual Report 2010-06-30

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Date of last update: 29 May 2025

Sources: Rhode Island Department of State