Alloplastic Reconstruction Inc

LBN: Alloplastic Facial Reconstruction
Alloplastic Reconstruction Inc is an health care organization with primary practice located at 3924 W Markham St , Little Rock AR 72205-5528. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Alloplastic Facial Reconstruction can be contacted via phone (501) 265-0100, or through Kaczkowski, Michael D via phone (501) 265-0100.

Contact Information

Primary practice address
3924 W Markham St Little Rock AR 72205-5528
Phone: (501) 265-0100
Fax: (501) 265-0102
Website:
Map and Directions
Authorized official contact:
Name: Kaczkowski, Michael D
Phone: (501) 265-0100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1699957928
LBN Legal business name Alloplastic Facial Reconstruction
DBA Doing business as Alloplastic Reconstruction Inc
Authorized official Kaczkowski, Michael D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2007
Last updated Oct 2nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699957928 NPPES
New York MEDICAID 02593066
New York MEDICAID 140207716
New York Other 49597

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