Provider Demographics
NPI:1740493972
Name:GOLOJUH, VANESSA LYNN (DC)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:LYNN
Last Name:GOLOJUH
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 1:6158 RITTMAN RD
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-7737
Mailing Address - Country:US
Mailing Address - Phone:856-313-1874
Mailing Address - Fax:
Practice Address - Street 1:626 W NEW CASTLE ST
Practice Address - Street 2:SUITE 202
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063-2005
Practice Address - Country:US
Practice Address - Phone:412-715-9764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor