Provider Demographics
NPI:1043373731
Name:GIACALONE HEALTHCARE INC
Entity Type:Organization
Organization Name:GIACALONE HEALTHCARE INC
Other - Org Name:GIACALONE CHIROPRACTIC INC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GIACALONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-839-3300
Mailing Address - Street 1:PO BOX 729
Mailing Address - Street 2:
Mailing Address - City:POCONO SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18346-0729
Mailing Address - Country:US
Mailing Address - Phone:570-839-3300
Mailing Address - Fax:570-839-3033
Practice Address - Street 1:716 ROUTE 940
Practice Address - Street 2:
Practice Address - City:POCONO SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18346-0729
Practice Address - Country:US
Practice Address - Phone:570-839-3300
Practice Address - Fax:570-839-3033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001902666OtherHIGHMARK BLUE CROSS BLUE SHIELD