Center For Advanced Interventional Spine Treatment Plc

LBN: Center For Advanced Interventional Spine Treatment Plc
Center For Advanced Interventional Spine Treatment Plc is an health care organization with primary practice located at 12662 Riley St Ste 120 , Holland MI 49424-8023. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Center For Advanced Interventional Spine Treatment Plc can be contacted via phone (616) 796-6430, or through Easa, John via phone (616) 796-6430.

Contact Information

Primary practice address
12662 Riley St Ste 120 Holland MI 49424-8023
Fax: (616) 786-4324
Website:
Authorized official contact:
Name: Easa, John Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X JE069312 Michigan

Profile Details

NPI number 1235465683
LBN Legal business name Center For Advanced Interventional Spine Treatment Plc
DBA Doing business as
Authorized official Easa, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2009
Last updated Jan 8th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235465683 NPPES
Michigan MEDICAID 3441763

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