| Name: | CHIROPRACTIC ASSOCIATES LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 20 Oct 2011 (13 years ago) |
| Date of Dissolution: | 20 Feb 2024 (a year ago) |
| Date of Status Change: | 20 Feb 2024 (a year ago) |
| Identification Number: | 000722072 |
| ZIP code: | 02907 |
| County: | Providence County |
| Principal Address: | 1196 ELMWOOD AVENUE, PROVIDENCE, RI, 02907, USA |
| Purpose: | CHIROPRACTIC OFFICE |
| NAICS: | 621310 - Offices of Chiropractors |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871879528 | 2011-10-26 | 2011-10-26 | 1196 ELMWOOD AVE, PROVIDENCE, RI, 029073716, US | 1196 ELMWOOD AVE, PROVIDENCE, RI, 029073716, US | |||||||||||||||||||||||||
|
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| Phone | +1 401-461-1600 |
| Fax | 4014613500 |
Authorized person
| Name | DR. GREGG ALLEN MEDEIROS |
| Role | CO-FOUNDER |
| Phone | 4014611600 |
Taxonomy
| Taxonomy Code | 111NI0013X - Independent Medical Examiner Chiropractor |
| License Number | DCP00545 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1568545580 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CHERILYN TAVARES | Agent | 1196 ELMWOOD AVENUE, PROVIDENCE, RI, 02907, USA |
| Number | Name | File Date |
|---|---|---|
| 202446887120 | Articles of Dissolution | 2024-02-20 |
| 202446885810 | Annual Report | 2024-02-20 |
| 202446885270 | Reinstatement | 2024-02-20 |
| 202340869790 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-11 |
| 202337675090 | Revocation Notice For Failure to File An Annual Report | 2023-06-16 |
| 202208747660 | Annual Report | 2022-01-27 |
| 202100487600 | Annual Report | 2021-08-30 |
| 202059966760 | Annual Report | 2020-10-01 |
| 201917878520 | Annual Report | 2019-09-06 |
| 201877245640 | Annual Report | 2018-09-11 |
Date of last update: 16 Oct 2024
Sources: Rhode Island Department of State
