Provider Demographics
NPI:1003323379
Name:GG GROUP LLC
Entity Type:Organization
Organization Name:GG GROUP LLC
Other - Org Name:FOUNDATION CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEOFF
Authorized Official - Middle Name:G
Authorized Official - Last Name:GUARINO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-840-2781
Mailing Address - Street 1:171A CHURCH RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8347
Mailing Address - Country:US
Mailing Address - Phone:412-552-8071
Mailing Address - Fax:
Practice Address - Street 1:171A CHURCH RD
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8347
Practice Address - Country:US
Practice Address - Phone:412-552-8071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-08
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010935111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty