Mccracken, Boyd A.

Mccracken, Boyd A. is an individual health care provider with primary practice located at 201 Health Care Dr , Greenville IL 62246-1155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccracken, Boyd A. can be contacted via phone (618) 664-1380.

Contact Information

Primary practice address
201 Health Care Dr Greenville IL 62246-1155
Phone: (618) 664-1380
Fax: (618) 664-4239
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036052523 Illinois

Profile Details

NPI number 1023000908
LBN Legal business name Mccracken, Boyd A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Dec 22nd, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023000908 NPPES
Illinois MEDICAID 036052523
Illinois Other 148519

Popular Providers