| Name: | Lighthouse Chiropractic, P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 11 Jun 2009 (16 years ago) |
| Identification Number: | 000507533 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 155 JEFFERSON BOULEVARD SUITE 2, WARWICK, RI, 02886, USA |
| Purpose: | CHIROPRACTIC |
| NAICS: | 621399 - Offices of All Other Miscellaneous Health Practitioners |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639495278 | 2010-04-07 | 2012-11-14 | PO BOX 9117, WARWICK, RI, 028890117, US | 717 ALLENS AVE, PROVIDENCE, RI, 029055412, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 401-751-6568 |
Authorized person
| Name | RONALD TYSZKOWSKI |
| Role | PRESIDENT |
| Phone | 4014900494 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 346 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | MD14078 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | MD14078 |
| State | RI |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RONALD TYSZKOWSKI | Agent | 155 JEFFERSON BOULEVARD SUITE 2, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| RONALD TYSZKOWSKI | PRESIDENT | 42 BROADVIEW AVENUE WARWICK, RI 02889 USA |
| Number | Name | File Date |
|---|---|---|
| 202447380530 | Annual Report | 2024-02-27 |
| 202338743950 | Annual Report | 2023-06-27 |
| 202338097260 | Revocation Notice For Failure to File An Annual Report | 2023-06-19 |
| 202214525890 | Annual Report | 2022-04-12 |
| 202197357170 | Annual Report | 2021-06-02 |
| 202196861920 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202042212920 | Annual Report | 2020-06-15 |
| 201988850010 | Statement of Change of Registered Office by the Registered Agent | 2019-03-19 |
| 201988848710 | Annual Report | 2019-03-19 |
| 201983627680 | Revocation Notice For Failure to Maintain a Registered Office | 2019-01-03 |
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
