Enoch Heileson
Podiatrist Prosthetist
313 S 9th Ave
Yakima
, Washington 98902-3516
Enoch Heileson
Podiatrist Prosthetist
313 S 9th Ave
Yakima
, Washington 98902-3516
(509) 248-8709
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Enoch Heileson
- 313 S 9th Ave
- Yakima, WA
- Zip : 98902-3516
- Fax : (509) 248-8709
- Phone : (509) 248-8040
Second Address
- Enoch Heileson
- 313 S 9th Ave
- Yakima, WA
- Zip : 98902-3516
- Fax : (509) 248-8709
- Phone : (509) 248-8040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | OI60739280 | WA |
| N | 222Z00000X | Podiatrist | OI60739280 | WA |
| Y | 224P00000X | Prosthetist | PS60756338 | WA |
National Provider Identifier
| NPI | 1154858363 |
|---|---|
| Provider Name | Enoch Heileson |
| First Address | Yakima, WA 98902-3516 |
| Second Address | Yakima, WA 98902-3516 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2017 |
| Last Update Date | 18/05/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 120244 | LABOR & INDUSTRIES (01) | |
| 9045675 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.