Altheide, Autumn

Altheide, Autumn is an individual health care provider with primary practice located at 800 E Carpenter St , Springfield IL 62702-5324. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Altheide, Autumn can be contacted via phone (217) 525-5643.

Contact Information

Primary practice address
800 E Carpenter St Springfield IL 62702-5324
Phone: (217) 525-5643
Fax: (217) 544-2521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209012547 Illinois

Profile Details

NPI number 1265830434
LBN Legal business name Altheide, Autumn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2014
Last updated Dec 28th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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