Exton Enterprises, Inc. | |
3755 Briargate Blvd Suite 220 Colorado Springs CO 80920-4195 | |
(719) 505-3051 | |
(719) 213-2305 |
Full Name | Exton Enterprises, Inc. |
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Speciality | Social Worker |
Location | 3755 Briargate Blvd, Colorado Springs, Colorado |
Authorized Official Name and Position | Kristin J Exton (OWNER) |
Authorized Official Contact | 7195053051 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Exton Enterprises, Inc. 3755 Briargate Blvd Suite 220 Colorado Springs CO 80920-4195 Ph: (719) 505-3051 | Exton Enterprises, Inc. 3755 Briargate Blvd Suite 220 Colorado Springs CO 80920-4195 Ph: (719) 505-3051 |
NPI Number | 1194104380 |
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Provider Enumeration Date | 05/21/2015 |
Last Update Date | 05/21/2015 |
Medicare PECOS PAC ID | 3779899216 |
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Medicare Enrollment ID | O20150831000099 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194104380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kristin J Exton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386991875 PECOS PAC ID: 3870742562 Enrollment ID: I20150831000254 |
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