Provider Demographics
NPI:1518175124
Name:GOLOJUH FAMILY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:GOLOJUH FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:GOLOJUH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-452-1401
Mailing Address - Street 1:626 W NEW CASTLE ST
Mailing Address - Street 2:STE. 202
Mailing Address - City:ZELIENOPLE
Mailing Address - State:PA
Mailing Address - Zip Code:16063-2005
Mailing Address - Country:US
Mailing Address - Phone:724-452-1401
Mailing Address - Fax:
Practice Address - Street 1:626 W NEW CASTLE ST
Practice Address - Street 2:STE. 202
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063-2005
Practice Address - Country:US
Practice Address - Phone:724-452-1401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009743111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty