Jack D. Crocker, DC

Chiropractor · Lebanon, MO

Individual Active NPI

NPI number 1558321638

Practice location

464 N Jefferson Ave
Lebanon, MO 65536-2742
Phone
(417) 532-9166
Fax
(417) 532-9887

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NPI record

NPI
1558321638
Entity type
Individual (Type 1)
Enumeration date
March 24, 2006
Last updated
May 2, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 004819 MO

About Dr. Crocker

Jack D. Crocker, DC 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 1558321638 was assigned on March 24, 2006 and the record was last updated on May 2, 2014.

Dr. Crocker lists a license in the registry: #004819 (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 Jack D. Crocker, DC?

The NPI number is 1558321638.

What is the phone number of Dr. Crocker?

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

Where is Dr. Crocker located?

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

What is the taxonomy code for Dr. Crocker?

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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