Provider Demographics
NPI:1528067261
Name:BASLER, CLAUDE JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:JOHN
Last Name:BASLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:IONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48846-1639
Mailing Address - Country:US
Mailing Address - Phone:616-527-6300
Mailing Address - Fax:616-527-0038
Practice Address - Street 1:351 W MAIN ST
Practice Address - Street 2:
Practice Address - City:IONIA
Practice Address - State:MI
Practice Address - Zip Code:48846-1639
Practice Address - Country:US
Practice Address - Phone:616-527-6300
Practice Address - Fax:616-527-0038
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-15
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MICB004340111N00000X
MI2301004340111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI142119965Medicaid
MI142119965Medicaid
MIOC45013001Medicare PIN