Provider Demographics
NPI:1386631638
Name:GUARNIERI, LOUIS JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:JOHN
Last Name:GUARNIERI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1247 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:FORTY-FORT
Mailing Address - State:PA
Mailing Address - Zip Code:18704-4101
Mailing Address - Country:US
Mailing Address - Phone:570-288-9998
Mailing Address - Fax:570-288-8430
Practice Address - Street 1:1247 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:FORTY-FORT
Practice Address - State:PA
Practice Address - Zip Code:18704-4101
Practice Address - Country:US
Practice Address - Phone:570-288-9998
Practice Address - Fax:570-288-8430
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002138L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1013357OtherAMERICAN SPECIALTY HEALTH
11367OtherBLUE SHIELD
805993OtherFIRST PRIORITY
PA0007677790001Medicaid
78297OtherTHREE RIVERS HEALTH PLANS
766501OtherFIRST HEALTH
11367OtherBLUE SHIELD
PA0007677790001Medicaid