| 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 PractitionersThis U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8732698305 | 2021-01-30 | 0165 | PPS | 155 Jefferson Blvd, Warwick, RI, 02888-3852 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
