All Medicaid billing entities listing CROCKER, JACK (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Missouri | 1 | $15K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CROCKER CHIROPRACTIC, LLC | LEBANON, MO | Chiropractor | $15K |