| Exton Enterprises, Inc. | |
|
3755 Briargate Blvd Suite 220 Colorado Springs CO 80920-4195 | |
| (719) 505-3051 | |
| (719) 213-2305 |
| Full Name | Exton Enterprises, Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/21/2015 |
| Last Update Date | 05/21/2015 |
| Medicare PECOS PAC ID | 3779899216 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386991875 PECOS PAC ID: 3870742562 Enrollment ID: I20150831000254 |
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