Provider Demographics
NPI:1164667325
Name:RONALD H. BESSEL
Entity Type:Organization
Organization Name:RONALD H. BESSEL
Other - Org Name:BESSEL CHIROPRACTIC OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:H
Authorized Official - Last Name:BESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-248-4500
Mailing Address - Street 1:2531 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3021
Mailing Address - Country:US
Mailing Address - Phone:203-248-4500
Mailing Address - Fax:203-248-3323
Practice Address - Street 1:2531 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3021
Practice Address - Country:US
Practice Address - Phone:203-248-4500
Practice Address - Fax:203-248-3323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTT23509Medicare UPIN
CT350000315Medicare PIN