=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134211014
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LOUIS H. GUERNSEY JR. MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/29/2006
-----------------------------------------------------
Last Update Date | 12/18/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6095 DURHAM RD
-----------------------------------------------------
City | PIPERSVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18947-1215
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-844-8611
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 115
-----------------------------------------------------
City | CHESTER SPRINGS
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19425-0115
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-529-9595
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2080P0214X
-----------------------------------------------------
Taxonomy Name | Pediatric Pulmonology Physician
-----------------------------------------------------
License Number | MD038844E
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------