Individual
DR. SHANE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2301 BERLIN TPKE, NEWINGTON, CT 06111-3206
(860) 667-8334
(860) 760-6456
Mailing address
2301 BERLIN TPKE, NEWINGTON, CT 06111-3206
(860) 667-8334
(860) 760-6456
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001553
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001553CT02
BLUECROSSBLUESHIELD
CT
01
—
3689845
AETNA
CT
01
—
672541
CONNECTICARE
CT
Enumeration date
11/06/2006
Last updated
11/24/2012
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