Search › Missouri › 111N00000X
Jack Crocker, DC
NPI 1558321638 · on the registry since 2006
Practice
- Address
- 464 N Jefferson Ave
Lebanon, MO 65536 - Phone
- (417) 532-9166
- Fax
- (417) 532-9887
- Organisation at this address
- Crocker Chiropractic, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri