Crooker, Jonathan Cameron

Crooker, Jonathan Cameron is an individual health care provider with primary practice located at 937 E Haverford Rd Suite 101, Bryn Mawr PA 19010-3800. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Chiropractic Providers / Independent Medical Examiner. Chiropractic Providers / Sports Physician is his primary health care specialty. Crooker, Jonathan Cameron can be contacted via phone (610) 520-2490.

Contact Information

Primary practice address
937 E Haverford Rd Suite 101 Bryn Mawr PA 19010-3800
Phone: (610) 520-2490
Fax: (610) 520-2492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X DC009554 Pennsylvania
Chiropractic Providers / Independent Medical Examiner 111NI0013X DC009554 Pennsylvania

Profile Details

NPI number 1114096211
LBN Legal business name Crooker, Jonathan Cameron
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Nov 9th, 2012 - about 13 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 1114096211 NPPES
Pennsylvania Other 273309601 TAX IDENIFICATION NUMBER

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