Golec, Jason Robert

Golec, Jason Robert is an individual health care provider with primary practice located at 4234 E Western Dr , Cottonwood AZ 86326-5828. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Golec, Jason Robert can be contacted via phone (928) 646-7228.

Contact Information

Primary practice address
4234 E Western Dr Cottonwood AZ 86326-5828
Phone: (928) 646-7228
Fax: (928) 634-7288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08002289A Indiana
Chiropractic Providers / Chiropractor 111N00000X 8311 Arizona

Profile Details

NPI number 1598837478
LBN Legal business name Golec, Jason Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 30th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598837478 NPPES
Indiana MEDICAID 200856870A
Indiana Other 250100C

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