Provider Demographics
NPI:1639645914
Name:SLOAT, CHASE (PA-C)
Entity Type:Individual
Prefix:
First Name:CHASE
Middle Name:
Last Name:SLOAT
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 CROOKED OAK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4278
Mailing Address - Country:US
Mailing Address - Phone:717-569-3279
Mailing Address - Fax:717-569-2187
Practice Address - Street 1:1650 CROOKED OAK DR STE 200
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4278
Practice Address - Country:US
Practice Address - Phone:717-569-3279
Practice Address - Fax:717-569-2187
Is Sole Proprietor?:No
Enumeration Date:2018-10-15
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA063500363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant