Provider Demographics
NPI:1144296468
Name:GIACALONE, ANTHONY NICHOLAS (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:NICHOLAS
Last Name:GIACALONE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6841 MARKET ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-7132
Mailing Address - Country:US
Mailing Address - Phone:910-798-0101
Mailing Address - Fax:910-798-0102
Practice Address - Street 1:6841 MARKET ST
Practice Address - Street 2:SUITE D
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-7132
Practice Address - Country:US
Practice Address - Phone:910-798-0101
Practice Address - Fax:910-798-0102
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3423111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085W9OtherBCBS
NC5902802Medicaid
NC5902802Medicaid
NC2458436Medicare ID - Type Unspecified