| 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 ChiropractorsThis industry comprises establishments of health practitioners having the degree of D.C. (Doctor of Chiropractic) primarily engaged in the independent practice of chiropractic. These practitioners provide diagnostic and therapeutic treatment of neuromusculoskeletal and related disorders through the manipulation and adjustment of the spinal column and extremities, and 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 | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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
