Claude John Basler, D.C.
Individual provider
Active NPI
Chiropractor · Ionia, MI
NPI 1528067261 · NPPES record last updated May 5, 2023
Key facts
- NPI
- 1528067261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301004340 (MI)
- Practice address
- 351 W Main St
Ionia, MI 48846-1639
- Phone
- (616) 527-6300
- Fax
- (616) 527-0038
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20120606000594 |
MI |
Practitioner - Chiropractic |
8224292008 |
Practice locations: Ionia, MI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 2301004340 | MI | MD | Chiropractor |
| CB004340 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|
| Mitten Chiropractic, LLC |
Chiropractor |
Past
since Jun 16, 2024 |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Chiropractor |
111N00000X |
CB004340 |
MI |
|
| Chiropractor |
111N00000X |
2301004340 |
MI |
Yes |
Addresses
Primary practice location
351 W Main St
Ionia, MI 48846-1639
Mailing address
351 W Main St
Ionia, MI 48846-1639
Phone (616) 527-6300
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 142119965 | Medicaid | MI | |