Organization
ALLOPLASTIC FACIAL RECONSTRUCTION
Active
Other names
Alloplastic Reconstruction Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D KACZKOWSKI (PRESIDENT)
(501) 265-0100
Entity
Organization
Contact information
Practice address
3924 W MARKHAM ST, LITTLE ROCK, AR 72205-5528
(501) 265-0100
(501) 265-0102
Mailing address
3924 W MARKHAM ST, LITTLE ROCK, AR 72205-5528
(501) 265-0100
(501) 265-0102
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02593066
—
NY
05
—
140207716
—
AR
01
—
49597
BCBS
AR
Enumeration date
11/28/2007
Last updated
10/02/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us