Provider Demographics
NPI:1477731800
Name:HUTCHCRAFT, MICHEAL L
Entity Type:Individual
Prefix:MR
First Name:MICHEAL
Middle Name:L
Last Name:HUTCHCRAFT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IL
Mailing Address - Zip Code:62959-1840
Mailing Address - Country:US
Mailing Address - Phone:618-993-1800
Mailing Address - Fax:618-993-1821
Practice Address - Street 1:928 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959-1840
Practice Address - Country:US
Practice Address - Phone:618-993-1800
Practice Address - Fax:618-993-1821
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies