Kaczkowski, Michael

Kaczkowski, Michael is an individual health care provider with primary practice located at 3924 W Markham St , Little Rock AR 72205. He 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, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Kaczkowski, Michael can be contacted via phone (501) 265-0100.

Contact Information

Primary practice address
3924 W Markham St Little Rock AR 72205
Phone: (501) 265-0100
Fax: (501) 265-0102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Anaplastologist 229N00000X
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1417236860
LBN Legal business name Kaczkowski, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2011
Last updated Sep 19th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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