Trujillo-Olkkonen, Heather A

Trujillo-Olkkonen, Heather A is an sole proprietor health care provider with primary practice located at 3130 E Baseline Rd Ste 107 , Mesa AZ 85204-7290. She recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Trujillo-Olkkonen, Heather A can be contacted via phone (480) 345-1980.

Contact Information

Primary practice address
3130 E Baseline Rd Ste 107 Mesa AZ 85204-7290
Fax: (480) 926-1721
Website:

Profile Details

NPI number 1700864071
LBN Legal business name Trujillo-Olkkonen, Heather A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2006
Last updated Jul 17th, 2023 - about last year

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 1700864071 NPPES
Arizona MEDICAID 974750

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