Bergthold, David N

Bergthold, David N is an individual health care provider with primary practice located at 54 Hospital Dr , Osage Beach MO 65065-3050. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Bergthold, David N can be contacted via phone (573) 302-2287.

Contact Information

Primary practice address
54 Hospital Dr Osage Beach MO 65065-3050
Phone: (573) 302-2287
Fax: (573) 302-2241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 139652 Missouri

Profile Details

NPI number 1336331065
LBN Legal business name Bergthold, David N
Credentials MSN-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Dec 7th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336331065 NPPES
Missouri MEDICAID 1336331065
Missouri Other 135570015
Missouri Other P00750268

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