Provider Demographics
NPI:1609888569
Name:HELAK, JOSEPH WALTER (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:WALTER
Last Name:HELAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 MARY ST
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5025
Mailing Address - Country:US
Mailing Address - Phone:828-264-9664
Mailing Address - Fax:828-264-8144
Practice Address - Street 1:175 MARY ST
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5025
Practice Address - Country:US
Practice Address - Phone:828-264-9664
Practice Address - Fax:828-264-8144
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26935207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8941184Medicaid
SCQ26935Medicaid
NC41184OtherBCBS
P00212221OtherRAILROAD MEDICARE
NC8941184Medicaid
C84432Medicare UPIN