ALLOPLASTIC FACIAL RECONSTRUCTION NPI 1699957928

NPI Information

NPI: 1699957928
Provider Name: ALLOPLASTIC FACIAL RECONSTRUCTION

Doing Business As: ALLOPLASTIC RECONSTRUCTION INC

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
3924 W MARKHAM ST
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 265-0100
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ALLOPLASTIC FACIAL RECONSTRUCTION is a customized equipment durable medical equipment medical supplies in Little Rock, AR. ALLOPLASTIC FACIAL RECONSTRUCTION NPI is 1699957928. The provider is registered as an organization entity type.
The provider Is Doing Business As Alloplastic Reconstruction Inc.

The provider's business location address is:

3924 W MARKHAM ST
LITTLE ROCK, AR
ZIP 72205-528
Phone: (501) 265-0100
Fax: (501) 265-0102

The provider's authorized official is Michael D Kaczkowski .
The authorized official title is President and has the following contact phone number (501) 265-0100.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 10/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	140207716	MEDICAID	ARKANSAS
2	02593066	MEDICAID	NEW YORK
3	49597	OTHER	ARKANSAS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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