Provider Demographics
NPI:1699734491
Name:STYER SLOGIK, ROMY D (PA-C)
Entity type:Individual
Prefix:
First Name:ROMY
Middle Name:D
Last Name:STYER SLOGIK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ROMY
Other - Middle Name:D
Other - Last Name:STYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2150 HARRISBURG PIKE
Mailing Address - Street 2:STE 200A
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2644
Mailing Address - Country:US
Mailing Address - Phone:717-396-9467
Mailing Address - Fax:717-396-9064
Practice Address - Street 1:2150 HARRISBURG PIKE
Practice Address - Street 2:STE 200A
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2644
Practice Address - Country:US
Practice Address - Phone:717-396-9467
Practice Address - Fax:717-396-9064
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052109363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q49143Medicare UPIN
PA093378Medicare ID - Type Unspecified