Individual
JOHN YELCICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
MD058018L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000179730
UNISON
PA
05
—
001557990
—
PA
01
—
001746389
HIGHMARK
PA
01
—
1150039
AETNA-HMO
PA
01
—
1551103
GATEWAY
PA
01
—
20044837
MERCY
PA
01
—
2375
GEISINGER
PA
01
—
2411767000
INDEPENDENCE BLUE CROSS
PA
01
—
50056067
CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL
PA
01
—
5515093
AETNA-NON HMO
PA
01
—
P00249598
RR MEDICARE
PA
Enumeration date
02/09/2006
Last updated
03/30/2011
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