# JOHN CHARLES EISLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811990674
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS003714L | PA | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 03/05/2008

## 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 |