| Shane D. Bashline, Inc. | |
|
432 East High Street, Flushing, OH 43977 | |
| (740) 968-3610 | |
| (740) 968-3502 |
| Full Name | Shane D. Bashline, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 432 East High Street, Flushing, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629171905 | NPI | - | NPPES |
| 0378176 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2285 (Ohio) | Primary |
| Provider Name | Shane D Bashline |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629076344 PECOS PAC ID: 7113015249 Enrollment ID: I20071126000661 |
| Provider Name | Jacob Matthew Doudna |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205512464 PECOS PAC ID: 7214370303 Enrollment ID: I20240206001043 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane D. Bashline, Inc. 432 East High Street, Flushing, OH 43977 Ph: (740) 968-3610 | Shane D. Bashline, Inc. 432 East High Street, Flushing, OH 43977 Ph: (740) 968-3610 |
Jacob Matthew Doudna, Chiropractor Medicare: Medicare Enrolled Practice Location: 432 High St, Flushing, OH 43977 Phone: 740-968-3610 Fax: 740-968-3502 | |
John Dwight Bashline, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 432 High St, Box 445, Flushing, OH 43977 Phone: 740-968-3610 Fax: 740-968-3502 | |
Shane Dwight Bashline, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 432 East High Street, Flushing, OH 43977 Phone: 740-968-3610 Fax: 740-968-3502 |