Provider Demographics
NPI:1952667016
Name:DR. JENNY BESS LENNON, LLC
Entity Type:Organization
Organization Name:DR. JENNY BESS LENNON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:BESS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-723-5715
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:203-723-5715
Mailing Address - Fax:866-761-3093
Practice Address - Street 1:223 MEADOW ST STE 3
Practice Address - Street 2:
Practice Address - City:NAUGATUCK
Practice Address - State:CT
Practice Address - Zip Code:06770-4043
Practice Address - Country:US
Practice Address - Phone:203-723-5715
Practice Address - Fax:866-761-3093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty