Provider Demographics
NPI:1083720668
Name:BELESI, JENNIFER (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:BELESI
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 1:77 W MAIN ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-1684
Mailing Address - Country:US
Mailing Address - Phone:508-435-8182
Mailing Address - Fax:508-435-8183
Practice Address - Street 1:77 W MAIN ST
Practice Address - Street 2:SUITE 205
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-1684
Practice Address - Country:US
Practice Address - Phone:508-435-8182
Practice Address - Fax:508-435-8183
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5873454OtherCIGNA
MAAA21353OtherHARVARD PILGRIMHEALTH
MAY36561OtherBLUE CROSS BLUE SHIELD
MA410023OtherTUFTS
MA3587375OtherAETNA HEALTH INSURANCE
MA4400582OtherUNITED HEALTH CARE
MA491884OtherPHCS
MA1612425Medicaid