Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crocker Chiropractic, LLC

Organization Chiropractor · NPI 1689957433

Crocker Chiropractic, LLC is a Chiropractor in Lebanon, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

464 N Jefferson Ave
Lebanon, MO 65536-2742
Phone: (417) 532-9166
Fax: (417) 532-9887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence MO004819 (MO)

Record details

NPI number1689957433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Crocker — Owner · (417) 532-9166
NPI enumeratedSeptember 27, 2011
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address464 N Jefferson Ave, Lebanon, MO 65536-2742

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