Entity Summary
ID Number: 000086893    
Summary for:  LIFESPAN PHYSICIANS IPA, INC.
The exact name of the Domestic Non-Profit Corporation:   LIFESPAN PHYSICIANS IPA, INC.
The name was changed from: RIH INDEPENDENT PRACTICE ASSOCIATION, INC. on 04-09-2013
Merged with MIRIAM IPA, INC. on 04-09-2013
Entity type:   Domestic Non-Profit Corporation
Identification Number: 000086893
Date of Incorporation in Rhode Island:   11-07-1995 Effective Date:   11-07-1995
Date of Revocation Certificate:   04-03-2019  
The location of the Principal Office:
         
Address: 593 EDDY STREET
City or Town, State, Zip, Country: PROVIDENCE,   RI   02903   USA
Agent Resigned:  N   Address Maintained:  Y  
The name and address of the Registered Agent:
         
Name: DON E. WINEBERG, ESQ.
Address: ONE PARK ROW, SUITE 300
City or Town, State, Zip, Country: PROVIDENCE,   RI   02903   USA
The Officers and Directors of the Corporation:
TitleIndividual NameAddress
PRESIDENTLEWIS WEINER, M.D. OME DAVOL SQUARE PROVIDENCE, RI 02903 USA
DIRECTORROBERT BAHR MD150 EAST MANNING STREET PROVIDENCE, RI 02906 USA
Purpose:
North American Industry Classification System Code(NAICS):
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