Healthcare Provider Details

I. General information

NPI: 1225077480
Provider Name (Legal Business Name): MICHAEL JOHN HACZELA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 3RD ST
BEAVER PA
15009-2363
US

IV. Provider business mailing address

274 3RD ST
BEAVER PA
15009-2363
US

V. Phone/Fax

Practice location:
  • Phone: 724-775-1214
  • Fax: 724-775-5262
Mailing address:
  • Phone: 724-775-1214
  • Fax: 724-775-5262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC-007439-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: