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Individual
DR. VINCENT LOVELL SHELBY
Active
Individual
DR. VINCENT LOVELL SHELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., FIAMA
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005939
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1158800
COMMUNITY HEALTH PLAN
MO
01
—
17447015
BLUE CROSS & BLUE SHEILD
MO
01
—
27741011
BC & BS GROUP #
MO
Enumeration date
10/06/2006
Last updated
04/26/2024
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