| 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 Chiropractors |
| 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 | |||||||||||||||||||
|
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| 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
