Sica, Colleen Mary
Sica, Colleen Mary is an individual health care provider with primary practice located at 100 Menlo Park Ste 408 , Edison NJ 08837. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sica, Colleen Mary can be contacted via phone (732) 826-5159.Contact Information
Primary practice address
100 Menlo Park Ste 408
Edison NJ 08837
Phone: (732) 826-5159
Fax: (732) 826-2107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA0056700 | New Jersey |
Profile Details
| NPI number | 1952465650 |
|---|---|
| LBN Legal business name | Sica, Colleen Mary |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Mar 25th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952465650 | NPPES |
| New Jersey | MEDICAID | 9042709 |
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