Provider Demographics
NPI:1124250352
Name:ROMEG ENTERPRISES PC
Entity type:Organization
Organization Name:ROMEG ENTERPRISES PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SERGEANT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:802-435-0616
Mailing Address - Street 1:PO BOX 576
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05342-0576
Mailing Address - Country:US
Mailing Address - Phone:508-637-1604
Mailing Address - Fax:
Practice Address - Street 1:2948 VT ROUTE 100
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:VT
Practice Address - Zip Code:05342-9510
Practice Address - Country:US
Practice Address - Phone:802-435-0616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-21
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TP0016X, 261QM0801X, 363LP0808X, 363LA2200X
MA273780261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty