Provider Demographics
NPI:1588733455
Name:GOLOJUH, JAISON JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:JAISON
Middle Name:JOSEPH
Last Name:GOLOJUH
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 1:652 PITTSBURGH RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16002-4035
Mailing Address - Country:US
Mailing Address - Phone:724-586-5858
Mailing Address - Fax:724-586-2986
Practice Address - Street 1:652 PITTSBURGH RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16002-4035
Practice Address - Country:US
Practice Address - Phone:724-586-5858
Practice Address - Fax:724-586-2986
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007530L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA150383OtherHEALTH ASSURANCE
PA307554OtherUPMC #
PAGO135050OtherHIGHMARK BCBS #
PAGO135050OtherHIGHMARK BCBS #
PA25-1864280OtherEIN