Organization
HART CARE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L SHANE HART D.C. (SOLE PROPRIETOR)
(573) 324-2225
Entity
Organization
Contact information
Practice address
300 W MAIN ST, BOWLING GREEN, MO 63334-1561
(573) 324-2225
(573) 324-6250
Mailing address
300 W MAIN ST, PO BOX 308, BOWLING GREEN, MO 63334-1561
(537) 324-2225
(537) 324-6250
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005241
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178192
PPO/HMO
—
01
—
22424
BLUE CHOICE
—
01
—
4450040
UNITED HEALTHCARE
MO
01
—
5227583
AETNA
—
01
—
CE005241
WORKERS COMP
MO
01
—
T43528
MEDICARE DME
—
Enumeration date
07/27/2007
Last updated
07/27/2007
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