Individual
DR. MATTHEW BENSON EUGENE JESSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
135 PLAZA RD S.W., SUITE 135, WISE, VA 24293-4613
(276) 679-2311
(276) 679-2133
Mailing address
135 PLAZA RD S.W., SUITE 135, WISE, VA 24293
(276) 679-2311
(276) 679-2133
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556300
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248582
ANTHEM
VA
01
—
7970611
AETNA
VA
Enumeration date
11/28/2006
Last updated
04/08/2008
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