Individual
DR. SHANE ALBERT CUTTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2419 MULLAN RD, SUITE A, MISSOULA, MT 59808-1827
(406) 543-1955
(406) 543-1506
Mailing address
2419 MULLAN RD, SUITE A, MISSOULA, MT 59808-1827
(406) 543-1955
(406) 543-1506
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1047 CHI
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000040923
BLUE CROSS BLUE SHIELD
MT
05
—
0166260
—
MT
05
—
0166270
—
MT
05
—
807199700
—
ID
Enumeration date
05/17/2006
Last updated
07/09/2007
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