Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Samuel J Daisley · Samuel J. Daisley Jr. | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Samuel | [sources] | |||
ID Number | OS006385L · OS006385L (PA) · PROMISe#: 001185330 | [sources] | |||
Last name | Daisley | [sources] | |||
Middle name | J · J. | [sources] | |||
NPI | 1669507505 | [sources] | |||
Title | DO | [sources] | |||
Address | Crawford, PA · Mercer, PA | [sources] | |||
Last change | Last processed | First seen |
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
List of providers excluded from participating in the Delaware Medicaid program.
United States of America · DHSS
us-medpa-a962bb4e5ac7c6044db34d77528e3ff9b70cb81b
· us-medpa-34fd0aad12b842dd121b1819a87d56badf11fbb9
· us-medde-7245f7400b5593771200f49c6c6fc08cdda9d07d
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Department of Human Services | - |
Address | ||
---|---|---|
Full address | Country | |
Crawford, PA | United States of America | |
Mercer, PA | United States of America |
United States of America | Department of Human Services | - | - |
United States of America | Pennsylvania Department of Human Services | - | - |