Provider Demographics
NPI:1528140142
Name:BASLER HEALTH CARE GROUP, INC.
Entity type:Organization
Organization Name:BASLER HEALTH CARE GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BASLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:401-885-0260
Mailing Address - Street 1:694 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3500
Mailing Address - Country:US
Mailing Address - Phone:401-885-0260
Mailing Address - Fax:401-885-6266
Practice Address - Street 1:694 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3500
Practice Address - Country:US
Practice Address - Phone:401-885-0260
Practice Address - Fax:401-885-6266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP387111N00000X
RIDCP418111N00000X
RIDCP315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI007009623Medicare ID - Type UnspecifiedPROVIDER NUMBER
RIU29684Medicare UPIN
RIU32270Medicare UPIN
RI359003541Medicare ID - Type UnspecifiedPROVIDER NUMBER
RI359020119Medicare ID - Type UnspecifiedPROVIDER #