Provider Demographics
NPI:1437161403
Name:GUERRIERE, DIANE (DC)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:
Last Name:GUERRIERE
Suffix:
Gender:F
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:P.O. BOX 2297
Mailing Address - Street 2:
Mailing Address - City:WOLFEBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03894
Mailing Address - Country:US
Mailing Address - Phone:603-569-8444
Mailing Address - Fax:603-569-3171
Practice Address - Street 1:84 BAY STREET
Practice Address - Street 2:
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894
Practice Address - Country:US
Practice Address - Phone:603-569-8444
Practice Address - Fax:603-569-3171
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH305-0188A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30254270Medicaid
NH30254270Medicaid
NHRE1733Medicare ID - Type Unspecified