Heilala, Matt A
Heilala, Matt A is an individual health care provider with primary practice located at 4100 Lake Otis Pkwy Ste 312 , Anchorage AK 99508-5231. 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. Heilala, Matt A can be contacted via phone (907) 569-3668.Contact Information
Primary practice address
4100 Lake Otis Pkwy Ste 312
Anchorage AK 99508-5231
Phone: (907) 569-3668
Fax: (907) 569-3669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 4087 | Alaska |
Profile Details
| NPI number | 1821135427 |
|---|---|
| LBN Legal business name | Heilala, Matt A |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821135427 | NPPES |
| Alaska | MEDICAID | PD5195 |
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