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Individual
JOHN CHARLES EISLEY
Active
Individual
JOHN CHARLES EISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS003714L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010778890002
—
PA
01
—
0075062
AETNA
PA
01
—
0B29927
HEALTH ASSURANCE
PA
01
—
1811990674
NPI
PA
01
—
303978
UPMC
PA
01
—
53859
UNITED HEALTHCARE
PA
01
—
88888
UNISON HEALTH CARE
PA
Enumeration date
05/24/2005
Last updated
03/05/2008
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