Sheridan, Katy Marie

Sheridan, Katy Marie is an individual health care provider with primary practice located at 245 N Binkley St Ste 203 , Soldotna AK 99669-7500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sheridan, Katy Marie can be contacted via phone (907) 260-3121.

Contact Information

Primary practice address
245 N Binkley St Ste 203 Soldotna AK 99669-7500
Phone: (907) 260-3121
Fax: (907) 260-4022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3723 Alaska

Profile Details

NPI number 1518983246
LBN Legal business name Sheridan, Katy Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jan 9th, 2013 - about 11 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 1518983246 NPPES
Alaska MEDICAID MD37231

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