Provider Demographics
NPI:1487782504
Name:GIACALONE, MARIA ANN (DC)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ANN
Last Name:GIACALONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR1 BOX 405 M ROUTE 390 N
Mailing Address - Street 2:
Mailing Address - City:CANADENSIS
Mailing Address - State:PA
Mailing Address - Zip Code:18325
Mailing Address - Country:US
Mailing Address - Phone:570-595-9355
Mailing Address - Fax:570-595-3770
Practice Address - Street 1:RR1 BOX 405 M ROUTE 390 N
Practice Address - Street 2:
Practice Address - City:CANADENSIS
Practice Address - State:PA
Practice Address - Zip Code:18325
Practice Address - Country:US
Practice Address - Phone:570-595-9355
Practice Address - Fax:570-595-3770
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA006461111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation