Provider Demographics
NPI:1467537845
Name:BASLER, PAUL ARTHUR (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ARTHUR
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 1:8705 PROFESSIONAL PL
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4411
Mailing Address - Country:US
Mailing Address - Phone:703-393-8228
Mailing Address - Fax:703-393-9558
Practice Address - Street 1:8705 PROFESSIONAL PL
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4411
Practice Address - Country:US
Practice Address - Phone:703-393-8228
Practice Address - Fax:703-393-9558
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104002097111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG6430001OtherCAREFIRST
VA1007800OtherASH
VA118826OtherANTHEM