Doctor Name: | DR. JASON ROBERT GOLEC |
NPI Number: | 1598837478 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 08002289A |
Business Practice Address: | 4234 E Western Dr Cottonwood, AZ - 863265828 |
Business Phone Number: | 9286467228 |
Business Fax Number: | 9286347288 |
Mailing Address: | 4234 E Western Dr, COTTONWOOD |
State: | AZ |
Postal Code: | 863265828 |
Phone Number: | 9286467228 |
Fax Number: | 9286347288 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 08002289A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |