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Individual
SHANE DWIGHT BASHLINE
Active
Individual
SHANE DWIGHT BASHLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2285
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000547449
BLUE CROSS
OH
05
—
0262924
—
OH
01
—
0805111
UMWA FUNDS MEDICARE
OH
01
—
350037819
RAILROAD MEDICARE
OH
Enumeration date
07/07/2005
Last updated
11/05/2014
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