MEDICARE: DR. CLAUDE JOHN BASLER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CB004340	MI
2	111N00000X	Chiropractor	2301004340	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528067261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAUDE JOHN BASLER D.C.

Provider Business Mailing Address
First Line	:	351 W MAIN ST
Second Line	:
City	:	IONIA
State	:	MI
Zip	:	48846-1639
Country	:	US
Telephone Number	:	616-527-6300
Fax Number	:	616-527-0038

Provider Business Practice Location Address
First Line	:	351 W MAIN ST
Second Line	:
City	:	IONIA
State	:	MI
Zip	:	48846-1639
Country	:	US
Telephone Number	:	616-527-6300
Fax Number	:	616-527-0038

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	05/05/2023

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