Sider, Katie Jo

Sider, Katie Jo is an individual health care provider with primary practice located at 6881 S Yosemite St , Centennial CO 80112-1406. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sider, Katie Jo can be contacted via phone (303) 393-8378.

Contact Information

Primary practice address
6881 S Yosemite St Centennial CO 80112-1406
Phone: (303) 393-8378
Fax: (720) 872-4902
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT.003297 Colorado
Eye and Vision Services Providers / Optometrist 152W00000X OEG002820 Pennsylvania

Profile Details

NPI number 1740621424
LBN Legal business name Sider, Katie Jo
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2013
Last updated Jul 21st, 2022 - about 4 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 1740621424 NPPES
Pennsylvania MEDICAID 102877001

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