| Name: | Matthew K. Rocheleau, DO LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 10 Jul 2023 (2 years ago) |
| Identification Number: | 001760071 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 215 TOLL GATE ROAD SUITE 306, WARWICK, RI, 02886, USA |
| Purpose: | MY BUSINESS IS IN THE MEDICAL FIELD. I AM A PRIMARY CARE PHYSICIAN IN WARWICK, RHODE ISLAND. |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023797826 | 2023-07-18 | 2024-01-22 | 215 TOLL GATE RD STE 306, WARWICK, RI, 028864462, US | 215 TOLL GATE RD STE 306, WARWICK, RI, 028864462, US | |||||||||||||||||||
|
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| Phone | +1 401-373-0820 |
| Fax | 4013730821 |
Authorized person
| Name | MATTHEW ROCHELEAU |
| Role | OWNER |
| Phone | 4013730820 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATTHEW ROCHELEAU | Agent | 30 SPINNAKER LANE, WARWICK, RI, 02886, USA |
| Number | Name | File Date |
|---|---|---|
| 202445647220 | Annual Report | 2024-02-05 |
| 202339342800 | Articles of Organization | 2023-07-10 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
