Provider Demographics
NPI:1427219450
Name:BESS, JENNY ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNY
Middle Name:ELIZABETH
Last Name:BESS
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 1:14 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06478-1411
Mailing Address - Country:US
Mailing Address - Phone:203-881-0479
Mailing Address - Fax:
Practice Address - Street 1:223 MEADOW STREET SUITE 3
Practice Address - Street 2:
Practice Address - City:NAUGATUCK
Practice Address - State:CT
Practice Address - Zip Code:06770
Practice Address - Country:US
Practice Address - Phone:203-723-5715
Practice Address - Fax:866-761-3093
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor