Crocker, Jack D

Crocker, Jack D is an individual health care provider with primary practice located at 464 N Jefferson Ave , Lebanon MO 65536-2742. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Crocker, Jack D can be contacted via phone (417) 532-9166.

Contact Information

Primary practice address
464 N Jefferson Ave Lebanon MO 65536-2742
Phone: (417) 532-9166
Fax: (417) 532-9887
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 004819 Missouri

Profile Details

NPI number 1558321638
LBN Legal business name Crocker, Jack D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated May 2nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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