Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK D CROCKER, DC
ActiveDR. JACK D CROCKER, DC is a Chiropractor healthcare provider located in LEBANON, Missouri. NPI 1558321638 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · LEBANON, MO
Registration Details
- NPI Number
- 1558321638
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2006 (20.379668503757 yrs)
- Last Updated
- May 2, 2014
- License
-
004819 (MO)
Practice Information
- Address
-
464 N JEFFERSON AVELEBANON, MO, 655362742Browse MO providers · Browse ZIP 65536
- Phone
- 4175329166
- Fax
- 4175329887
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in LEBANON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN LEE BAYS | D.C. | 1851394043 |
| DR. JILL NELSON | DC | 1528044278 |
| DR. MELANI ANN CROCKER | D.C. | 1912974049 |
| DR. MICHEAL J. MILLER | D.C. | 1508834383 |
| DR. JEFFREY DEAN HAYES | DO | 1356400477 |
| TABITHA LYNN OGLE | D.C | 1487925475 |
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.