Provider Demographics
NPI:1205868460
Name:GUARINO, EDGAR (DC)
Entity type:Individual
Prefix:DR
First Name:EDGAR
Middle Name:
Last Name:GUARINO
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 1:150 FARMINGTON LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6239
Mailing Address - Country:US
Mailing Address - Phone:717-560-4422
Mailing Address - Fax:717-560-5429
Practice Address - Street 1:150 FARMINGTON LN
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6239
Practice Address - Country:US
Practice Address - Phone:717-560-4422
Practice Address - Fax:717-560-5429
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC5004L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1393181Medicaid
PAGU113524OtherHIGHMARK BLUE SHIELD -NEW
PAGU1339640OtherHIGHMARK BLUE SHIELD -OLD
PAGU1339640OtherHIGHMARK BLUE SHIELD -OLD
PA1393181Medicaid