Provider Demographics
NPI:1437357266
Name:GUIDA, DEAN (DEAN GUIDA, DC)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:
Last Name:GUIDA
Suffix:
Gender:M
Credentials:DEAN GUIDA, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15-2874 PAHOA VILLAGE RD # 9016
Mailing Address - Street 2:
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778-7720
Mailing Address - Country:US
Mailing Address - Phone:713-569-3171
Mailing Address - Fax:
Practice Address - Street 1:15-2874 PAHOA VILLAGE RD # 9016
Practice Address - Street 2:
Practice Address - City:PAHOA
Practice Address - State:HI
Practice Address - Zip Code:96778-7720
Practice Address - Country:US
Practice Address - Phone:713-569-3171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9338111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU63505Medicare UPIN
TX8C7034Medicare ID - Type Unspecified