Name: | Rachel Sullivan M.D. P.C. |
Jurisdiction: | Rhode Island |
Entity type: | Professional Service Corporation |
Status: | Dissolved |
Date of Organization in Rhode Island: | 08 Oct 2010 (15 years ago) |
Date of Dissolution: | 12 Jun 2019 (6 years ago) |
Date of Status Change: | 12 Jun 2019 (6 years ago) |
Identification Number: | 000553794 |
ZIP code: | 02905 |
County: | Providence County |
Principal Address: | 235 PLAIN STREET SUITE 203, PROVIDENCE, RI, 02905, USA |
Purpose: | MEDICAL PRACTICE SPECIALIZING IN PLASTIC SURGERY |
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
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1275843708 | 2010-10-18 | 2010-10-18 | 235 PLAIN ST, SUITE 203, PROVIDENCE, RI, 029053240, US | 235 PLAIN ST, SUITE 203, PROVIDENCE, RI, 029053240, US | |||||||||||||||
|
Phone | +1 401-649-4901 |
Fax | 4016494903 |
Authorized person
Name | DR. RACHEL AILEEN SULLIVAN |
Role | PRESIDENT |
Phone | 4016172032 |
Taxonomy
Taxonomy Code | 208200000X - Plastic Surgery Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ADLER POLLOCK & SHEEHAN P.C. | Agent | ONE CITIZENS PLAZA 8TH FLOOR, PROVIDENCE, RI, 02903, USA |
Name | Role | Address |
---|---|---|
RACHEL SULLIVAN MD | PRESIDENT | 235 PLAIN STREET, SUITE 203 PROVIDENCE, RI 02905 USA |
Number | Name | File Date |
---|---|---|
201996419450 | Annual Report | 2019-06-12 |
201996420690 | Articles of Dissolution | 2019-06-12 |
201879091920 | Annual Report | 2018-10-09 |
201875562370 | Revocation Notice For Failure to File An Annual Report | 2018-08-24 |
201730544860 | Annual Report | 2017-01-20 |
201694921480 | Annual Report | 2016-03-22 |
201557781930 | Annual Report | 2015-03-19 |
201435122660 | Annual Report | 2014-02-05 |
201310411810 | Annual Report | 2013-01-28 |
201289601230 | Annual Report | 2012-02-14 |
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State