Shane R. Ogle, D.C.

Chiropractor · Lebanon, MO

Individual Active NPI

NPI number 1760741813

Practice location

464 N Jefferson Ave
Lebanon, MO 65536-2742
Phone
(417) 532-9166

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NPI record

NPI
1760741813
Entity type
Individual (Type 1)
Enumeration date
May 10, 2012
Last updated
January 16, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 2012013169 MO

Mailing address

103 Ichord Ave
Ste B
Waynesville, MO 65583-5402
Phone
(417) 532-9166

About Dr. Ogle

Shane R. Ogle, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 464 N Jefferson Ave, Lebanon, MO 65536-2742. The NPI number 1760741813 was assigned on May 10, 2012 and the record was last updated on January 16, 2017.

Dr. Ogle lists a license in the registry: #2012013169 (MO) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shane R. Ogle, D.C.?

The NPI number is 1760741813.

What is the phone number of Dr. Ogle?

The phone number listed for the practice location is (417) 532-9166.

Where is Dr. Ogle located?

464 N Jefferson Ave, Lebanon, MO 65536-2742.

What is the taxonomy code for Dr. Ogle?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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