Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 14746 | KY |
NPI | 1033210596 |
---|---|
Provider Name | John Joseph Guarnaschelli |
First Address | Louisville, KY 40295-0202 |
Second Address | Louisville, KY 40202-1901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 03/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000045440 | ANTHEM PROVIDER # (01) | |
000000674359 | ANTHEM - NNIKY (01) | KY |
000052155V | HUMANA - NNIKY (01) | KY |
100383680 | INDIANA MEDICAID (01) | IN |
1048759 | PASSPORT PROVIDER # (01) | |
119046 | SIHO - NNIKY (01) | KY |
2529982 | CIGNA - NNIKY (01) | KY |
50029962 | PASSPORT & PASSPORT ADVANTAGE - NNIKY (01) | KY |
64147465 | (05) | KY |
C73557 | (02) |