Jason Mitchell Crockett in Springfield - Chiropractor
Jason Mitchell Crockett - NPI 1821075375
Jason Mitchell Crockett is a Chiropractor in Springfield, Missouri. Jason Mitchell Crockett practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jason Mitchell Crockett is 1821075375. The last update date is 2012-05-02.
Jason Mitchell Crockett's current location address is 733 W Kearney St, Springfield, Missouri. You can contact this provider via phone number 4178317575 and fax number 4178317632. The mailing address for Jason Mitchell Crockett is 733 W Kearney St, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Mitchell Crockett |
|---|---|
| Address | 733 W Kearney St, Springfield, Missouri |
| Phone Number | 4178317575 |
| Fax Number | 4178317632 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1821075375 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2012-05-02 |
Provider Mailing Address Detail
| Address | 733 W Kearney St |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658031229 |
| Phone Number | 4178317575 |
| Fax Number | 4178317632 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2001006863 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1921532 | MO | FIRST HEALTH & CCN | |
| 4400576 | MO | UNITED HEALTHCARE | |
| 9168688 | MO | PRIVATE HEALTHCARE SYSTEM | |
| 466725 | MO | HEALTHLINK | |
| 7825256 | MO | AETNA | |
| P00324028 | MO | RAILROAD MEDICARE | |
| 143164 | MO | BLUE CROSS BLUE SHIELD | |
| 755773900 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jason Mitchell Crockett by the Centers for Medicare & Medicaid Services?
The Jason Mitchell Crockett has been assigned the NPI (National Provider Identifier) 1821075375. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jason Mitchell Crockett is physically located?
The Jason Mitchell Crockett is situated at the following address: 733 W Kearney St, Springfield, MO 658031229.
What is Jason Mitchell Crockett's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jason Mitchell Crockett is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
When was the Jason Mitchell Crockett's 1821075375 issued?
The Jason Mitchell Crockett's 1821075375 was issued on 2005-12-27.
As of what date were the details related to Jason Mitchell Crockett most recently updated or revised?
The information pertaining to Jason Mitchell Crockett, including its address, specialty, and other relevant details, was last updated or revised on 2012-05-02.