Provider Demographics
NPI:1235483009
Name:BASSLER, CHRISTOPHER ROBERT (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ROBERT
Last Name:BASSLER
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 1:215 HIGHWAY 965 NE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-9091
Mailing Address - Country:US
Mailing Address - Phone:319-459-1203
Mailing Address - Fax:
Practice Address - Street 1:215 HIGHWAY 965 NE
Practice Address - Street 2:SUITE 1
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-9091
Practice Address - Country:US
Practice Address - Phone:319-459-1203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor