Provider Demographics
NPI:1235449109
Name:CANADENSIS HEALTHCARE INC.
Entity Type:Organization
Organization Name:CANADENSIS HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GIACALONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-595-9355
Mailing Address - Street 1:RR 1 BOX 405M
Mailing Address - Street 2:
Mailing Address - City:CANADENSIS
Mailing Address - State:PA
Mailing Address - Zip Code:18325-9743
Mailing Address - Country:US
Mailing Address - Phone:570-595-9355
Mailing Address - Fax:570-595-3770
Practice Address - Street 1:RR 1 BOX 405M
Practice Address - Street 2:
Practice Address - City:CANADENSIS
Practice Address - State:PA
Practice Address - Zip Code:18325-9743
Practice Address - Country:US
Practice Address - Phone:570-595-9355
Practice Address - Fax:570-595-3770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC 006461-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty