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SAMUEL JOSEPH JR DAISLEY

Debarred entity
TypePerson[sources]
NameSAMUEL JOSEPH JR DAISLEY · Samuel J Daisley · Samuel J. Daisley Jr.[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameSamuel[sources]
ID NumberOS006385L · OS006385L (PA) · PROMISe#: 001185330[sources]
Last nameDaisley[sources]
Middle nameJ · J. · JOSEPH JR[sources]
NPI1669507505[sources]
TitleDO[sources]
PositionFAMILY PRACTICE (PHYSICIAN (MD, DO))[sources]
Address11332 KONNEYAUT TRAIL EXT, APT, CONNEAUT LAKE, PA 16316 · Crawford, PA · Mercer, PA[sources]
Last changeLast processedFirst seen

Relationships

Data sources

US Pennsylvania Medicheck list5,994

Medical providers who are precluded from participation in the Medical Assistance Program

United States · DHS

US Health and Human Sciences Inspector General Exclusions81,173

People and companies excluded from Federally funded health care programs

United States · OIG

US Delaware Medicaid Sanctioned Providers1,368

List of providers excluded from participating in the Delaware Medicaid program.

United States · DHSS

Source data IDs: us-medpa-a962bb4e5ac7c6044db34d77528e3ff9b70cb81b · us-medpa-34fd0aad12b842dd121b1819a87d56badf11fbb9 · us-fed-excl-samuel-joseph-jr-daisley-16316-conneaut-lake · us-medde-7245f7400b5593771200f49c6c6fc08cdda9d07d

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