Organization
ALLOPLASTIC RECONSTRUCTION
Active
Parent organization
ALLOPLASTIC RECONSTRUCTION
Other names
THE CENTER FOR ALLOPLASTIC FACIAL RECONSTRUCTION
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLOPLASTIC RECONSTRUCTION
Authorized official
MR. MICHAEL D KACZKOWSKI (PRESIDENT)
(501) 265-0100
Entity
Organization
Contact information
Practice address
6 W GE PATTERSON AVE, SUITE 102, MEMPHIS, TN 38103-6413
(901) 410-5375
(800) 977-4149
Mailing address
220 N. VAN BUREN, LITTLE ROCK, AR 72205
(501) 265-0100
(800) 977-4149
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
—
—
229N00000X
Anaplastologist
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
OPP00038
AR
Other
Enumeration date
10/07/2014
Last updated
01/09/2015
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