Provider Demographics
NPI:1396826004
Name:GUERRIERE, JOHN F (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:GUERRIERE
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 1:3240 SHELBURNE RD
Mailing Address - Street 2:STE.3
Mailing Address - City:SHELBURNE
Mailing Address - State:VT
Mailing Address - Zip Code:05482-6374
Mailing Address - Country:US
Mailing Address - Phone:802-985-8130
Mailing Address - Fax:802-985-1297
Practice Address - Street 1:3240 SHELBURNE RD
Practice Address - Street 2:STE.3
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-6374
Practice Address - Country:US
Practice Address - Phone:802-985-8130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006-0000821111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT68542OtherBLUE CROSS BLUE SHIELD
VTVT9595Medicare ID - Type Unspecified