Individual
DR. JONATHAN ROBERT CROSSWAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1727 W MAIN ST, SUITE 2, RAPID CITY, SD 57702-2500
(605) 641-7442
Mailing address
1727 W MAIN ST, SUITE 2, RAPID CITY, SD 57702-2500
(605) 641-7442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1299
SD
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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