Provider Demographics
NPI:1700244183
Name:GUARINO, GEOFFREY (DC)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
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 1:171 CHURCH RD
Mailing Address - Street 2:STE A
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8347
Mailing Address - Country:US
Mailing Address - Phone:412-552-8071
Mailing Address - Fax:
Practice Address - Street 1:171 CHURCH RD
Practice Address - Street 2:STE A
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8347
Practice Address - Country:US
Practice Address - Phone:412-552-8071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-01
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010953111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor