Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | MD025261E | PA |
Y | 207Q00000X | Family Doctor | MD025261E | PA |
NPI | 1205934544 |
---|---|
Provider Name | Ronald Noel Eister |
First Address | Danville, PA 17822-4903 |
Second Address | Avis, PA 17721-8902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 31/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12156 | GEISINGER HEALTH PLAN (01) | PA |
817989 | FIRST PRIORITY HEALTH (01) | PA |
F78854 | (02) | PA |
F78854 | HEALTH AMERICA (01) | PA |