Crocker Chiropractic, LLC
Chiropractor · Lebanon, MO
Practice location
464 N Jefferson AveLebanon, MO 65536-2742
- Phone
- (417) 532-9166
- Fax
- (417) 532-9887
NPI record
- NPI
- 1689957433
- Entity type
- Organization (Type 2)
- Enumeration date
- September 27, 2011
- Last updated
- October 29, 2025
- Certified
- October 29, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
MO004819 | MO |
Authorized official
- Name
- Dr. Jack D Crocker, D.C.
- Title
- Owner
- Phone
- (417) 532-9166
About Crocker Chiropractic, LLC
Crocker Chiropractic, LLC is a healthcare organization 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 1689957433 was assigned on September 27, 2011 and the record was last updated on October 29, 2025.
Crocker Chiropractic, LLC lists a license in the registry: #MO004819 (MO) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Jack D Crocker, D.C., Owner.
Frequently asked questions
What is the NPI number of Crocker Chiropractic, LLC?
The NPI number is 1689957433.
What is the phone number of Crocker Chiropractic, LLC?
The phone number listed for the practice location is (417) 532-9166.
Where is Crocker Chiropractic, LLC located?
464 N Jefferson Ave, Lebanon, MO 65536-2742.
What is the taxonomy code for Crocker Chiropractic, LLC?
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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