Healthcare Provider Details

I. General information

NPI: 1427353796
Provider Name (Legal Business Name): JOHN MICHAEL GIACALONE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2011
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 W BROAD ST
BETHLEHEM PA
18018-4926
US

IV. Provider business mailing address

6991 ROUTE 611
STROUDSBURG PA
18360-9266
US

V. Phone/Fax

Practice location:
  • Phone: 610-726-1569
  • Fax: 570-290-8458
Mailing address:
  • Phone: 570-234-0828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC010390
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: