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IndividualActive

Dr. Jack D Crocker

DC

Chiropractor

NPI: 1558321638Lebanon, Missouri, 65536(417) 532-9166Male

About Dr. Jack D Crocker

Dr. Jack D Crocker, DC, is a male healthcare professional specializing in Chiropractor, registered under National Provider Identifier (NPI) number 1558321638. Dr. Jack D Crocker received his medical education at LOGAN COLLEGE OF CHIROPRACTIC, graduating in 1983.

Their primary practice is located at 464 N JEFFERSON AVE, Lebanon, Missouri 65536. Patients can reach the office at (417) 532-9166. Dr. Jack D Crocker has been NPI-registered since 2006.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1558321638
Entity Type
Individual
First Name
Jack
Last Name
Crocker
Credential
DC
Gender
Male
Medical School
LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year
1983
Sole Proprietor
No
Status
active

Primary Practice Location

Address
464 N JEFFERSON AVE
City
Lebanon
State
Missouri
ZIP
65536-2742
Country
United States
Phone
(417) 532-9166
Fax
(417) 532-9887

Specialty & Taxonomy

Primary Specialty
Chiropractor
Classification
Chiropractor
Taxonomy Code
111N00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
464 N JEFFERSON AVE
City
LEBANON
State
MO
ZIP
655362742

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Dr. Jack D Crocker's NPI number?
Dr. Jack D Crocker's National Provider Identifier (NPI) is 1558321638. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Dr. Jack D Crocker specialize in?
Dr. Jack D Crocker specializes in Chiropractor. They received their medical education at LOGAN COLLEGE OF CHIROPRACTIC (class of 1983).
Where is Dr. Jack D Crocker located?
Dr. Jack D Crocker practices at 464 N JEFFERSON AVE, Lebanon, Missouri 65536. You can reach them by phone at (417) 532-9166.
Does Dr. Jack D Crocker accept Medicare?
Based on available data, Dr. Jack D Crocker is not currently enrolled in the Medicare program.
Does Dr. Jack D Crocker offer telehealth or virtual visits?
Dr. Jack D Crocker does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Jack D Crocker is 1558321638.