Mccracken, John

Mccracken, John is an individual health care provider with primary practice located at 7445 Allen Rd Suite 250, Allen Park MI 48101-1963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccracken, John can be contacted via phone (313) 386-5500.

Contact Information

Primary practice address
7445 Allen Rd Suite 250 Allen Park MI 48101-1963
Fax: (313) 386-3444
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301063325 Michigan

Profile Details

NPI number 1811960081
LBN Legal business name Mccracken, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 16th, 2007 - about 17 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 1811960081 NPPES
Michigan MEDICAID 4281910

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