Mccracken, Stewart Andrew

Mccracken, Stewart Andrew is an sole proprietor health care provider with primary practice located at 491 Shaw Gulch Ln , Superior MT 59872-0124. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mccracken, Stewart Andrew can be contacted via phone (406) 304-6371.

Contact Information

Primary practice address
491 Shaw Gulch Ln Superior MT 59872-0124
Phone: (406) 304-6371
Fax: (866) 261-3089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1951 Montana

Profile Details

NPI number 1578823589
LBN Legal business name Mccracken, Stewart Andrew
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2012
Last updated Jul 29th, 2020 - about 5 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 1578823589 NPPES
Montana MEDICAID 1265066500

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