Individual
DR. L. SHANE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
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, P.O. BOX 308, BOWLING GREEN, MO 63334-1561
(573) 324-2225
(573) 324-6250
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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