Individual
DR. SHANE DEAN BISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12256 STATE LINE RD, LEAWOOD, KS 66209-1256
(913) 345-9888
(913) 345-0958
Mailing address
12256 STATE LINE RD, LEAWOOD, KS 66209-1256
(913) 345-9888
(913) 345-0958
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04781
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125178
COVENTRY
KS
01
—
31615016
BCBS
KS
01
—
7303408
AETNA
KS
Enumeration date
05/30/2006
Last updated
10/01/2014
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