| 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 (11 years ago) |
| Date of Status Change: | 28 Aug 2013 (11 years ago) |
| Identification Number: | 000500924 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 182 GANO STREET, PROVIDENCE, RI, 02906, USA |
| Purpose: | Health Care Office- Pediatrics Title: 7-1.2-1701 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609001585 | 2009-05-21 | 2009-05-21 | 182 GANO STREET, PROVIDENCE, RI, 02906, US | 182 GANO ST, PROVIDENCE, RI, 02906, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-688-2782 |
| Fax | 4018611055 |
Authorized person
| Name | DR. JULIEN D. GINSBERG-SELTZ |
| Role | PRESIDENT |
| Phone | 4016882782 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JULIAN GINSBERG-PELTZ | Agent | 46 IVY STREET, PROVIDENCE, RI, 02906, USA |
| Name | Role | Address |
|---|---|---|
| JULIEN DANIEL GINSBERG-PELTZ DR | PRESIDENT | 46 IVY STREET PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| JULIEN GINSBERG-PELTZ | OTHER OFFICER | 46 IVY STREET PROVIDENCE, RI 02906 UNI |
| 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 |
| 201063387200 | Revocation Notice For Failure to File An Annual Report | 2010-06-16 |
| 200941046820 | Articles of Incorporation | 2009-01-28 |
Date of last update: 13 Oct 2024
Sources: Rhode Island Department of State
