Heileson, Enoch

Heileson, Enoch is an individual health care provider with primary practice located at 313 S 9Th Ave , Yakima WA 98902-3516. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Heileson, Enoch can be contacted via phone (509) 248-8040.

Contact Information

Primary practice address
313 S 9Th Ave Yakima WA 98902-3516
Phone: (509) 248-8040
Fax: (509) 248-8709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X PS60756338 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X OI60739280 Washington

Profile Details

NPI number 1154858363
LBN Legal business name Heileson, Enoch
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2017
Last updated Jul 21st, 2022 - about 2 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 1154858363 NPPES
Other 120244 LABOR & INDUSTRIES
MEDICAID 9045675 LABOR & INDUSTRIES

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