Jack D Crocker (NPI# 1558321638, PAC ID# 2466619739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1558321638 |
| PAC ID by PECOS | 2466619739 |
| Professional Enrollment ID | I20120130000569 |
| Full Name | Jack D Crocker |
| Address |
464 N Jefferson Ave Lebanon MO 65536-2742 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1983 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 464 N Jefferson Ave, Lebanon, MO 65536-2742 |
| Street Address |
464 N JEFFERSON AVE |
| City | LEBANON |
| State | MO |
| Zip | 65536-2742 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marla C Smith | Optometry | Mattax Neu Prater Eye Center Inc | 430 N Jefferson Ave, Lebanon, MO 65536-2742 |
| James B Mattax Jr. | Ophthalmology | Mattax Neu Prater Eye Center Inc | 430 N Jefferson Ave, Lebanon, MO 65536-2742 |
| Leo T Neu Iii | Ophthalmology | Mattax Neu Prater Eye Center Inc | 430 N Jefferson Ave, Lebanon, MO 65536-2742 |
| Melani A Crocker | Chiropractic | 617 N Jefferson Ave, Lebanon, MO 65536-2745 | |
| Margaret K Swick | Chiropractic | 291 N Adams Ave, Lebanon, MO 65536-3045 | |
| Cylinda L Butler | Optometry | 702 Owens Dr, Lebanon, MO 65536-3501 | |
| Thomas R Whitty | Chiropractic | 702 Owens Dr, Lebanon, MO 65536-3501 | |
| Daniel L Johnson | Nurse Practitioner | Lake Regional Health System | 441 W Elm St, Lake Regional Occupational Medicine, Lebanon, MO 65536-3523 |
| Neil R Schwartzman | Internal Medicine | Lake Regional Health System | 441 W Elm St, Lake Regional Occupational Medicine, Lebanon, MO 65536-3523 |
| Michael Montgomery | Optometry | 279 E Elm St, Lebanon, MO 65536-3610 | |
| Find all physicians in zip 65536 | |||
| City | LEBANON |
| Zip Code | 65536 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LEBANON + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.