Eisley, John Charles

Eisley, John Charles is an individual health care provider with primary practice located at 447 W Main St , Monongahela PA 15063-2564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eisley, John Charles can be contacted via phone (724) 258-2070.

Contact Information

Primary practice address
447 W Main St Monongahela PA 15063-2564
Phone: (724) 258-2070
Fax: (724) 258-3582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS003714L Pennsylvania

Profile Details

NPI number 1811990674
LBN Legal business name Eisley, John Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 5th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811990674 NPPES
Pennsylvania Other 0075062 AETNA
Pennsylvania Other 0B29927 AETNA
Pennsylvania MEDICAID 0010778890002 AETNA
Pennsylvania Other 0B29927 AETNA
Pennsylvania Other 303978 AETNA
Pennsylvania Other 88888 AETNA
Pennsylvania Other 0B29927 AETNA
Pennsylvania Other 1811990674 AETNA
Pennsylvania Other 53859 AETNA

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