Katy Sheridan Md Pc

LBN: Katy Sheridan Md Pc
Katy Sheridan Md Pc is an health care organization with primary practice located at 154 W Marydale Ave , Soldotna AK 99669-7501. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Katy Sheridan Md Pc can be contacted via phone (907) 260-3121, or through Sheridan, Katy Marie via phone (907) 260-3121.

Contact Information

Primary practice address
154 W Marydale Ave Soldotna AK 99669-7501
Phone: (907) 260-3121
Fax: (907) 260-4022
Website:
Map and Directions
Authorized official contact:
Name: Sheridan, Katy Marie Doctor of Medicine (MD)
Phone: (907) 260-3121

Health care specialties

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

Profile Details

NPI number 1992814818
LBN Legal business name Katy Sheridan Md Pc
DBA Doing business as
Authorized official Sheridan, Katy Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 30th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992814818 NPPES
Alaska MEDICAID 1581953

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