| Name: | SUSAN M. STUART, DO, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 09 May 2012 (13 years ago) |
| Date of Dissolution: | 26 Oct 2016 (8 years ago) |
| Date of Status Change: | 26 Oct 2016 (8 years ago) |
| Identification Number: | 000790190 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 192 DAY LILY CIRCLE, WAKEFIELD, RI, 02879, USA |
| Purpose: | PROFESSIONAL MEDICAL PRACTICE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790032746 | 2012-08-09 | 2012-08-09 | 46 WELLS ST, WESTERLY, RI, 028912924, US | 46 WELLS ST, WESTERLY, RI, 028912924, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-596-0174 |
| Fax | 4015962266 |
Authorized person
| Name | DR. SUSAN M STUART |
| Role | PRESIDENT |
| Phone | 4015960174 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | 00486 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHARLES W. NORMAND, ESQ. | Agent | HINCKLEY ALLEN & SNYDER LLP 50 KENNEDY PLAZA SUITE 1500, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| SUSAN M. STUART, DO | PRESIDENT | 192 DAY LILY CIRCLE WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| SUSAN M. STUART, DO | TREASURER | 192 DAY LILY CIRCLE WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| SUSAN M. STUART, DO | SECRETARY | 192 DAY LILY CIRCLE WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| SUSAN M. STUART, DO | DIRECTOR | 192 DAY LILY CIRCLE WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 201611079890 | Revocation Certificate For Failure to File the Annual Report for the Year | 2016-10-26 |
| 201601564470 | Revocation Notice For Failure to File An Annual Report | 2016-07-07 |
| 201558206540 | Annual Report | 2015-03-30 |
| 201444499940 | Annual Report | 2014-08-19 |
| 201444044050 | Statement of Change of Registered Office by the Registered Agent | 2014-08-12 |
| 201439658390 | Revocation Notice For Failure to File An Annual Report | 2014-05-20 |
| 201313735670 | Annual Report | 2013-03-08 |
| 201292671570 | Articles of Incorporation | 2012-05-09 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
