DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PETER D CROCKER, D.C.

Active Sole Proprietor

DR. PETER D CROCKER, D.C. is a Chiropractor healthcare provider located in PORT BYRON, Illinois. NPI 1437169851 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · PORT BYRON, IL

Registration Details

NPI Number
1437169851
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2006 (20.017962955341 yrs)
Last Updated
Jul 9, 2012
Licenses
5854 (AZ)
038012184 (IL)
Sole Proprietor
Yes

Practice Information

Address
106 N HIGH ST
PORT BYRON, IL, 612759532
Browse IL providers · Browse ZIP 61275
Phone
3098489017
Fax
8888309748
Primary Specialty
Chiropractor
111N00000X
Additional Specialty
Chiropractor

Other Chiropractor Providers in PORT BYRON, IL

Name Credential NPI
DR. DAVID LEE BULL DC 1811098619
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.