Alloplastic Facial Reconstruction in Little Rock - Customized Equipment
Alloplastic Facial Reconstruction - NPI 1699957928
Alloplastic Facial Reconstruction is a Customized Equipment in Little Rock, Arkansas. Alloplastic Facial Reconstruction practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Alloplastic Facial Reconstruction is 1699957928. The last update date is 2020-10-02.
Alloplastic Facial Reconstruction's current location address is 3924 W Markham St, Little Rock, Arkansas. You can contact this provider via phone number 5012650100 and fax number 5012650102. The mailing address for Alloplastic Facial Reconstruction is 3924 W Markham St, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Alloplastic Facial Reconstruction |
|---|---|
| Address | 3924 W Markham St, Little Rock, Arkansas |
| Phone Number | 5012650100 |
| Fax Number | 5012650102 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kaczkowski D Michael |
| Telephone Number | 5012650100 |
NPI Number Detail
| NPI Number | 1699957928 |
|---|---|
| Provider Enumeration Date | 2007-11-28 |
| Last Updated Date | 2020-10-02 |
Provider Mailing Address Detail
| Address | 3924 W Markham St |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722055528 |
| Phone Number | 5012650100 |
| Fax Number | 5012650102 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2593066 | NY | -- | |
| 140207716 | AR | -- | |
| 49597 | AR | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Alloplastic Facial Reconstruction by the Centers for Medicare & Medicaid Services?
The Alloplastic Facial Reconstruction has been issued the NPI (National Provider Identifier) 1699957928. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Alloplastic Facial Reconstruction's facilities are geographically located?
The facilities of Alloplastic Facial Reconstruction are physically situated at the following location: 3924 W Markham St, Little Rock, AR, 722055528.
What is Alloplastic Facial Reconstruction's area of expertise and its corresponding taxonomy classification?
The Alloplastic Facial Reconstruction's field of specialization is Customized Equipment, and it falls under the taxonomy code 332Bc3200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699957928 to Alloplastic Facial Reconstruction?
The Centers for Medicare & Medicaid Services originally issued the 1699957928 to Alloplastic Facial Reconstruction on 2007-11-28.
As of what date were the Alloplastic Facial Reconstruction's details last updated?
The information pertaining to the Alloplastic Facial Reconstruction, including its address, specialty, and other details, was most recently updated on 2020-10-02.
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