Mccrackin, Mona Lee

Mccrackin, Mona Lee is an sole proprietor health care provider with primary practice located at 4706 Jeffers Rd , Eau Claire WI 54703-9635. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Mccrackin, Mona Lee can be contacted via phone (715) 226-0740.

Contact Information

Primary practice address
4706 Jeffers Rd Eau Claire WI 54703-9635
Phone: (715) 226-0740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 74220-030 Wisconsin
Nursing Service Providers / Home Health 163WH0200X 74220-030 Wisconsin

Profile Details

NPI number 1851460877
LBN Legal business name Mccrackin, Mona Lee
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Jul 9th, 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 1851460877 NPPES
Wisconsin MEDICAID 38319800

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