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Individual

DR. VINCENT LOVELL SHELBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C., FIAMA

Contact information

Practice address
206 W 2ND ST, MARYVILLE, MO 64468-2229
(660) 582-8099
(660) 582-5161
Mailing address
206 W 2ND ST, MARYVILLE, MO 64468-2229
(660) 582-8099
(660) 582-5161

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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