<Unavail>

LBN: Alloplastic Reconstruction
<Unavail> is an health care organization with primary practice located at 6 W Ge Patterson Ave Suite 102, Memphis TN 38103-6413. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Ocularist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Anaplastologist, Suppliers / Prosthetic/Orthotic Supplier. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Anaplastologist is the primary health care specialty. Alloplastic Reconstruction can be contacted via phone (901) 410-5375, or through Kaczkowski, Michael D via phone (501) 265-0100.

Contact Information

Primary practice address
6 W Ge Patterson Ave Suite 102 Memphis TN 38103-6413
Phone: (901) 410-5375
Fax: (800) 977-4149
Website:
Map and Directions
Authorized official contact:
Name: Kaczkowski, Michael D
Phone: (501) 265-0100

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Anaplastologist 229N00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X OPP00038 Arkansas

Profile Details

NPI number 1962805812
LBN Legal business name Alloplastic Reconstruction
DBA Doing business as <Unavail>
Authorized official Kaczkowski, Michael D
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 7th, 2014
Last updated Jan 9th, 2015 - about 11 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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