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EMILY ACKERMAN, M.D., LLC

Company Details

Name: EMILY ACKERMAN, M.D., LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 12 May 2009 (16 years ago)
Identification Number: 000506786
ZIP code: 02876
County: Providence County
Principal Address: 261 MAIN STREET UNIT 102, SLATERSVILLE, RI, 02876, USA
Mailing Address: PO BOX 927, SLATERSVILLE, RI, 02876, USA
Purpose: PRACTICE OF MEDICINE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881925493 2010-01-21 2010-01-21 594 GREAT RD, SUITE 102B, NORTH SMITHFIELD, RI, 028966810, US 594 GREAT RD, SUITE 102B, NORTH SMITHFIELD, RI, 028966810, US

Contacts

Phone +1 401-768-3700
Fax 4017683703

Authorized person

Name DR. EMILY ACKERMAN
Role OWNER
Phone 4017683700

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number MD11830
State RI
Is Primary Yes

Agent

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

Filings

Number Name File Date
202457944360 Annual Report 2024-07-15
202456112940 Revocation Notice For Failure to File An Annual Report 2024-06-18
202330273860 Annual Report 2023-03-07
202217241490 Annual Report 2022-05-11
202104982110 Annual Report 2021-11-12
202072034460 Annual Report 2020-10-30
201924718240 Annual Report 2019-10-17
201880251050 Annual Report 2018-10-26
201753152840 Annual Report 2017-11-08
201612209160 Annual Report 2016-11-17

Date of last update: 14 Oct 2024

Sources: Rhode Island Department of State