Name: | Espanola Chiropractic, LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Activ |
Date of Organization in Rhode Island: | 13 Jul 2016 (9 years ago) |
Identification Number: | 001665030 |
ZIP code: | 02895 |
County: | Providence County |
Principal Address: | 125 SOUTH MAIN STREET, WOONSOCKET, RI, 02895, USA |
Purpose: | MEDICAL AND HEALTHCARE |
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 | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1659040228 | 2021-09-08 | 2021-09-08 | 125 S MAIN ST, WOONSOCKET, RI, 028954227, US | 125 S MAIN ST, WOONSOCKET, RI, 028954227, US | |||||||||||||||||||
|
Fax | 4017667001 |
Authorized person
Name | MATTHEW ESPANOLA |
Role | OWNER-CHIROPRACTIC |
Phone | 4017667000 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1780904912 |
State | RI |
Name | Role | Address |
---|---|---|
MATTHEW ESPANOLA | Agent | 125 SOUTH MAIN STREET, WOONSOCKET, RI, 02895, USA |
Number | Name | File Date |
---|---|---|
202447049770 | Annual Report | 2024-02-22 |
202327308180 | Annual Report | 2023-02-02 |
202212568600 | Annual Report | 2022-03-10 |
202212569030 | Statement of Change of Registered/Resident Agent | 2022-03-10 |
202212569300 | Annual Report | 2022-03-10 |
202212569580 | Annual Report | 2022-03-10 |
202212569670 | Annual Report | 2022-03-10 |
202212570270 | Annual Report | 2022-03-10 |
202212570360 | Annual Report | 2022-03-10 |
202212568060 | Reinstatement | 2022-03-10 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State