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Individual

SHANE DWIGHT BASHLINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
432 EAST HIGH STREET, FLUSHING, OH 43977
(740) 968-3610
(740) 968-3502
Mailing address
432 EAST HIGH STREET, FLUSHING, OH 43977-0445
(740) 968-3610
(740) 968-3502

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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