| Name: | Basler Chiropractic Center, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 26 Dec 1995 (29 years ago) |
| Identification Number: | 000087369 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 1261 NORTH MAIN STREET, PROVIDENCE, RI, 02904, USA |
| Purpose: | RENDERING PROFESSIONAL CHIROPRACTIC SERVICES. |
| NAICS: | 621310 - Offices of Chiropractors |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932239423 | 2007-03-06 | 2020-08-22 | 909 N MAIN ST, PROVIDENCE, RI, 029045752, US | 909 N MAIN ST, PROVIDENCE, RI, 029045752, US | |||||||||||||||||||||||||||
|
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| Phone | +1 401-421-9695 |
| Fax | 4013311550 |
Authorized person
| Name | DR. MARY GRACE BASLER |
| Role | PRESIDENT |
| Phone | 4014219695 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | DCP00294 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CHIP |
| Number | 204246 |
| Issuer | BLUE CROSS & BLUE SHIELD |
| Number | 3542-2 |
| Name | Role | Address |
|---|---|---|
| JOSEPH J. REALE, JR., ESQ. | Agent | 400 SOUTH MAIN STREET, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| MARY G. BASLER | PRESIDENT | 1261 NORTH MAIN STREET PROVIDENCE, RI 02904 USA |
| Number | Name | File Date |
|---|---|---|
| 202448201870 | Annual Report | 2024-03-04 |
| 202327608550 | Annual Report | 2023-02-03 |
| 202209587760 | Annual Report | 2022-02-03 |
| 202186130830 | Annual Report | 2021-01-12 |
| 202031466570 | Annual Report | 2020-01-06 |
| 201984461300 | Annual Report | 2019-01-15 |
| 201856590440 | Annual Report | 2018-01-22 |
| 201729750030 | Annual Report | 2017-01-09 |
| 201690389680 | Annual Report | 2016-01-11 |
| 201553142960 | Annual Report | 2015-01-12 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
