Heaslet, Michael William

Heaslet, Michael William is an sole proprietor health care provider with primary practice located at 4950 Barranca Pkwy Suite 308, Irvine CA 92604-4671. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Heaslet, Michael William can be contacted via phone (949) 651-1202.

Contact Information

Primary practice address
4950 Barranca Pkwy Suite 308 Irvine CA 92604-4671
Phone: (949) 651-1202
Fax: (949) 552-9493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E2056 California

Profile Details

NPI number 1790735397
LBN Legal business name Heaslet, Michael William
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Sep 28th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790735397 NPPES
California Other 95-3539063 FEDERAL TAX ID
California Other E2056 FEDERAL TAX ID

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