# SHANE DWIGHT BASHLINE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629076344
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2285 | OH | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 11/05/2014

## 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 |