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MICHELLE C. VANNIEUWENHUIZE, M.D., LLC

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Company Details

Name: MICHELLE C. VANNIEUWENHUIZE, M.D., LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 31 Dec 2009 (16 years ago)
Identification Number: 000522764
ZIP code: 02865
City: Lincoln
County: Providence County
Purpose: MEDICAL PRACTICE/OFFICE
Principal Address: Google Maps Logo 6 BLACKSTONE VALLEY PLACE SUITE 305, LINCOLN, RI, 02865, USA

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. 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

Agent

Name Role Address
MICHELLE C. VANNIEUWENHUIZE Agent 6 BLACKSTONE VALLEY PLACE SUITE 305, LINCOLN, RI, 02865, USA

Manager

Name Role Address
MICHELLE C. VANNIEUWENHUIZE Manager 6 BLACKSTONE VALLEY PLACE, SUITE 305 LINCOLN, RI 02865 USA

National Provider Identifier

NPI Number:
1275856759

Authorized Person:

Name:
DR. MICHELLE C VANNIEUWENHUIZE
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4013055497

Form 5500 Series

Employer Identification Number (EIN):
271634882
Plan Year:
2024
Number Of Participants:
2
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
MICHELLE VANNIEUWENHUIZE(Plan administrator)
MICHELLE VANNIEUWENHUIZE(Employer/plan sponsor)
Plan Year:
2023
Number Of Participants:
3
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
MICHELLE VANNIEUWENHUIZE(Plan administrator)
MICHELLE VANNIEUWENHUIZE(Employer/plan sponsor)
Plan Year:
2022
Number Of Participants:
3
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
MICHELLE VANNIEUWENHUIZE(Plan administrator)
MICHELLE VANNIEUWENHUIZE(Employer/plan sponsor)
Plan Year:
2021
Number Of Participants:
3
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
MICHELLE VANNIEUWENHUIZE(Plan administrator)
Plan Year:
2021
Number Of Participants:
3
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
MICHELLE VANNIEUWENHUIZE(Plan administrator)
MICHELLE VANNIEUWENHUIZE(Employer/plan sponsor)

Filings

Number Name File Date
202453260130 Annual Report 2024-04-30
202340107090 Annual Report 2023-08-03
202337197150 Revocation Notice For Failure to File An Annual Report 2023-06-16
202217160980 Annual Report 2022-05-11
202101583950 Annual Report 2021-09-15

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$34,991
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$34,991
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$35,359.12
Servicing Lender:
Santander Bank, National Association
Use of Proceeds:
Payroll: $34,991

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Date of last update: 12 Jul 2025

Sources: Rhode Island Department of State