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Individual
DR. L. SHANE HART
Active
Individual
DR. L. SHANE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005241
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22424
BLUE CROSS BLUE SHIELD
MO
01
—
39-1886617
TRIAD
MO
01
—
44-50040
UNITED HEALTH CARE
MO
01
—
5227583
AETNA
MO
05
—
752706705
—
MO
01
—
910850-633
FIRST HEALTH
MO
01
—
T43528
MERCY HEALTH PLANS
MO
Enumeration date
08/18/2006
Last updated
03/23/2010
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