Crockett, Jason Mitchell

Crockett, Jason Mitchell is an individual health care provider with primary practice located at 733 W Kearney St , Springfield MO 65803-1229. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Crockett, Jason Mitchell can be contacted 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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2001006863 Missouri

Profile Details

NPI number 1821075375
LBN Legal business name Crockett, Jason Mitchell
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated May 2nd, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821075375 NPPES
Missouri Other 1921532 FIRST HEALTH & CCN
Missouri Other 4400576 FIRST HEALTH & CCN
Missouri Other 9168688 FIRST HEALTH & CCN
Missouri Other 466725 FIRST HEALTH & CCN
Missouri Other 7825256 FIRST HEALTH & CCN
Missouri Other P00324028 FIRST HEALTH & CCN
Missouri Other 143164 FIRST HEALTH & CCN
Missouri MEDICAID 755773900 FIRST HEALTH & CCN

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