Crockett Chiropractic, Pc
LBN: Crockett Chiropractic, Pc
Crockett Chiropractic, Pc is an health care organization with primary practice located at 733 W Kearney St , Springfield MO 65803-1229. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Crockett Chiropractic, Pc can be contacted via phone (417) 831-7575, or through Crockett, Jason Mitchell via phone (417) 831-7575.
Contact Information
Primary practice address
733 W Kearney St
Springfield MO 65803-1229
Phone: (417) 831-7575
Fax: (417) 831-7632
Website:
Authorized official contact:
Name: Crockett, Jason Mitchell Doctor of Chiropractic (DC)
Phone: (417) 831-7575
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2001006863 | Missouri |
Profile Details
| NPI number | 1326025867 |
|---|---|
| LBN Legal business name | Crockett Chiropractic, Pc |
| DBA Doing business as | |
| Authorized official | Crockett, Jason Mitchell Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Apr 30th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326025867 | NPPES |
| Missouri | Other | 7825256 | AETNA |
| Missouri | Other | 466725 | AETNA |
| Missouri | Other | 472348 | AETNA |
| Missouri | Other | 143164 | AETNA |
| Missouri | Other | 1921532 | AETNA |
| Missouri | Other | 4400576 | AETNA |
| Missouri | Other | 9168688 | AETNA |
| Missouri | MEDICAID | 755773900 | AETNA |
| Missouri | Other | DE9027 | AETNA |
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