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Dr. L. Shane Hart, DC
Chiropractor in Bowling Green, Missouri
NPI 1407960123

L. Shane Hart is a Chiropractor based in Bowling Green, MO. L. Shane Hart practices in Bowling Green, MO and has the professional credentials of DC. The NPI Number for L. Shane Hart is 1407960123 and holds a License No. 005241 (Missouri).

The current practice location address for L. Shane Hart is 300 W Main St, Bowling Green, MO and can be reached out via phone at 573-324-2225 and via fax at 573-324-6250.

Location: 300 W Main St, Bowling Green, MO, 63334-1561
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407960123
Provider Name
L. Shane Hart
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
300 W Main St, Bowling Green, MO, 63334-1561
Phone Number
573-324-2225
Fax Number
573-324-6250
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22424 01 MO BLUE CROSS BLUE SHIELD
22424 01 MO BLUE CHOICE
39-1886617 01 MO TRIAD
44-50040 01 MO UNITED HEALTH CARE
752706705 05 MO
5227583 01 MO AETNA
T43528 01 MO MERCY HEALTH PLANS
910850-633 01 MO FIRST HEALTH
institution
Provider Business Practice Location Address Details
Address
300 W Main St
City
Bowling Green
State
Missouri
Zip
63334-1561
Phone Number
573-324-2225
Fax Number
573-324-6250
person
Provider Business Mailing Address Details
Address
300 W Main St
City
Bowling Green
State
Missouri
Zip
63334-1561
Phone Number
573-324-2225
Fax Number
573-324-6250
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
005241 (Missouri)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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