# CENTER FOR ADVANCED INTERVENTIONAL SPINE TREATMENT PLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235465683
- **Authorized official:** DR. JOHN EASA MD (SOLE MEMBER)
- **Authorized official phone:** (616) 796-6430

## Contact information

- **Practice address:** 12662 RILEY ST STE 120, HOLLAND, MI 49424-8023
- **Practice address phone:** (616) 796-6430
- **Practice address fax:** (616) 786-4324
- **Mailing address:** 12662 RILEY ST STE 120, HOLLAND, MI 49424-8023
- **Mailing address phone:** (616) 796-6430
- **Mailing address fax:** (616) 786-4324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | JE069312 | MI | Yes |

## Other

- **Enumeration date:** 10/20/2009
- **Last updated:** 01/08/2010