Jacob Matthew Doudna, | |
432 High St, Flushing, OH 43977-9733 | |
(740) 968-3610 | |
(740) 968-3502 |
Full Name | Jacob Matthew Doudna |
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Gender | Male |
Speciality | Chiropractor |
Location | 432 High St, Flushing, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205512464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC-05274 (Ohio) | Primary |
Provider Name | Shane D. Bashline, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629171905 PECOS PAC ID: 5193813236 Enrollment ID: O20071126000684 |
Mailing Address | Practice Location Address |
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Jacob Matthew Doudna, 432 High St, Flushing, OH 43977-9733 Ph: (740) 968-3610 | Jacob Matthew Doudna, 432 High St, Flushing, OH 43977-9733 Ph: (740) 968-3610 |
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 | |
Bashline Clinic Of Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 432 East High Street, Flushing, OH 43977 Phone: 740-968-3610 Fax: 740-968-3502 |