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
Phone: (313) 386-5500
Fax: (313) 386-3444
Website:
Health care specialties
| Specialty | Code | License # | 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 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811960081 | NPPES |
| Michigan | MEDICAID | 4281910 |
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