Healthcare Provider Details

I. General information

NPI: 1043228513
Provider Name (Legal Business Name): JOHN G GIACALONE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
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

1114 W BROAD ST
BETHLEHEM PA
18018-4926
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberDC003545L
License Number StatePA

VIII. Authorized Official

Name: DR. JOHN M GIACALONE
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 570-234-7535