Individual
MR. DANIEL HENRY KRACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3622 BELMONT AVE, 1, YOUNGSTOWN, OH 44505-1450
(330) 775-9935
(330) 759-9387
Mailing address
3622 BELMONT AVE, 1, YOUNGSTOWN, OH 44505-1450
(330) 775-9935
(330) 759-9387
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA-11242-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12097730
CAQH
OH
05
—
3022464
—
OH
Enumeration date
01/19/2010
Last updated
03/15/2011
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