Individual
HOLLY ELIZABETH SKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 W 12TH ST, ERIE, PA 16505-4508
(814) 838-9000
(814) 838-0462
Mailing address
2500 W 12TH ST, ERIE, PA 16505-4508
(814) 838-9000
(814) 838-0462
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002032L
PA
363A00000X
Physician Assistant
OA000239L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970023783
RAILROAD MEDICARE IND#
PA
Enumeration date
06/20/2005
Last updated
07/29/2014
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