Mccracken, Susan Caldwell
Mccracken, Susan Caldwell is an sole proprietor health care provider with primary practice located at 1931 Boise Ave Ste 1 Center For Advanced Bodywork, Loveland CO 80538-4295. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mccracken, Susan Caldwell can be contacted via phone (970) 412-1563.Contact Information
Primary practice address
1931 Boise Ave Ste 1 Center For Advanced Bodywork
Loveland CO 80538-4295
Phone: (970) 412-1563
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | NBCOT AA429001 | Colorado |
Profile Details
| NPI number | 1598977530 |
|---|---|
| LBN Legal business name | Mccracken, Susan Caldwell |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Apr 20th, 2009 - about 16 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 | 1598977530 | NPPES |
| Colorado | MEDICAID | 95355332 |
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