Basic Information
| Provider Information | |||||||||
| NPI: | 1073855979 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EXIGO CONSULTING, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7248 TILGHMAN ST | ||||||||
| Address2: | SUITE 160 | ||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181069355 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107620273 | ||||||||
| FaxNumber: | 6103368001 | ||||||||
| Practice Location | |||||||||
| Address1: | 7248 TILGHMAN ST | ||||||||
| Address2: | SUITE 160 | ||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181069355 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107620273 | ||||||||
| FaxNumber: | 6103368001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/19/2013 | ||||||||
| LastUpdateDate: | 03/19/2013 | ||||||||
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| AuthorizedOfficialLastName: | MUSSELMAN | ||||||||
| AuthorizedOfficialFirstName: | AARON | ||||||||
| AuthorizedOfficialMiddleName: | J. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6107620273 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MBA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | N | Agencies | Case Management | 171W00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Contractor |
No ID Information.