MEDICARE: DR. LOUIS JOHN GUARNIERI DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC002138L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1013357	OTHER	AMERICAN SPECIALTY HEALTH
2	11367	OTHER	BLUE SHIELD
3	805993	OTHER	FIRST PRIORITY
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	78297	OTHER	THREE RIVERS HEALTH PLANS
6	766501	OTHER	FIRST HEALTH

General Provider Information

NPI Number	:	1386631638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS JOHN GUARNIERI DC

Provider Business Mailing Address
First Line	:	1247 WYOMING AVE
Second Line	:
City	:	FORTY-FORT
State	:	PA
Zip	:	18704-4101
Country	:	US
Telephone Number	:	570-288-9998
Fax Number	:	570-288-8430

Provider Business Practice Location Address
First Line	:	1247 WYOMING AVE
Second Line	:
City	:	FORTY-FORT
State	:	PA
Zip	:	18704-4101
Country	:	US
Telephone Number	:	570-288-9998
Fax Number	:	570-288-8430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	07/08/2007

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