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Physician Assist LLC

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Company Details

Name: Physician Assist LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 17 Apr 2009 (16 years ago)
Date of Dissolution: 01 Jun 2015 (10 years ago)
Date of Status Change: 01 Jun 2015 (10 years ago)
Identification Number: 000506109
ZIP code: 02879
County: Washington County
Purpose: Assist physicians in all aspects of patient care.
Principal Address: Google Maps Logo 490 MIDDLEBRIDGE ROAD, WAKEFIELD, RI, 02879, USA

Agent

Name Role Address
MICHAEL COBB Agent 490 MIDDLEBRIDGE ROAD, WAKEFIELD, RI, 02879, USA

National Provider Identifier

NPI Number:
1669702569

Authorized Person:

Name:
MR. MICHAEL JOHN COBB
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363AS0400X - Surgical Physician Assistant
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
201562135960 Revocation Certificate For Failure to File the Annual Report for the Year 2015-06-01
201556445950 Revocation Notice For Failure to File An Annual Report 2015-03-04
201434582320 Annual Report 2014-01-30
201433425150 Revocation Notice For Failure to File An Annual Report 2014-01-17
201296734000 Annual Report 2012-09-05

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Date of last update: 29 May 2025

Sources: Rhode Island Department of State