Doctor Name: | HENRY MCCRACKING |
NPI Number: | 1811162860 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 9437 |
Business Practice Address: | Us Naval Hospital Rota Spain Psc 819 Box 18 Fpo, AE - 09645 |
Business Phone Number: | 01134956823524 |
Business Fax Number: | |
Mailing Address: | Us Naval Hospital Rota Spain, Psc 819 Box 18 FPO |
State: | AE |
Postal Code: | 09645 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/29/2008 |
NPI Last Update Date: | 04/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 9437 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |