Provider Demographics
NPI:1205070695
Name:MCCRACKEN, SEAN F (MSN, CNRN, CNIM)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:F
Last Name:MCCRACKEN
Suffix:
Gender:M
Credentials:MSN, CNRN, CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 E GIRARD AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2767
Mailing Address - Country:US
Mailing Address - Phone:720-214-2549
Mailing Address - Fax:303-744-7876
Practice Address - Street 1:777 E GIRARD AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2767
Practice Address - Country:US
Practice Address - Phone:720-214-2549
Practice Address - Fax:303-744-7876
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic