Provider Demographics
NPI:1073667416
Name:BESSO, GEOFFREY NEIL (DC)
Entity Type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:NEIL
Last Name:BESSO
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 1:4015 DARROW RD A
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-2623
Mailing Address - Country:US
Mailing Address - Phone:330-212-9700
Mailing Address - Fax:
Practice Address - Street 1:4015 DARROW RD A
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-2623
Practice Address - Country:US
Practice Address - Phone:330-689-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHBE4167201Medicare ID - Type Unspecified