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Rachel Sullivan M.D. P.C.

Company Details

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 (14 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)

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
ADLER POLLOCK & SHEEHAN P.C. Agent ONE CITIZENS PLAZA 8TH FLOOR, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
RACHEL SULLIVAN MD PRESIDENT 235 PLAIN STREET, SUITE 203 PROVIDENCE, RI 02905 USA

Filings

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