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Contact Information

MATT A. HEILALA, DPM INC.
4100 LAKE OTIS PKWY
SUITE 312
ANCHORAGE, AK99508-5222
 Phone: 907-569-3668
 Fax: 907-569-3669
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MATT A HEILALA DPM INC · (Female)

NPI Number 1316046790
Status Active
Credentials
Entity Individual
Enumeration date 09/21/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • AK License # 3497
  • AK License # 4087
  • AK Medicaid PD3497
  • AK Medicaid PD5195
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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