Healthcare Provider Details
I. General information
NPI: 1740248640
Provider Name (Legal Business Name): SHARON LEONARDO-BARONE DBA EXTON CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2006
Last Update Date: 06/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
855 SPRINGDALE DRIVE SUITE 120
EXTON PA
19341
US
IV. Provider business mailing address
855 SPRINGDALE DRIVE SUITE 120
EXTON PA
19341
US
V. Phone/Fax
- Phone: 610-524-9520
- Fax: 610-524-0133
- Phone: 610-524-9520
- Fax: 610-524-0133
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LORIE
SOLTIS
Title or Position: BILLING
Credential:
Phone: 317-509-0475