Bertholdi, Autumn L.

Bertholdi, Autumn L. is an individual health care provider with primary practice located at 3850 S National Ave Ste 705 , Springfield MO 65807-5239. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Bertholdi, Autumn L. can be contacted via phone (417) 888-0858.

Contact Information

Primary practice address
3850 S National Ave Ste 705 Springfield MO 65807-5239
Phone: (417) 888-0858
Fax: (417) 889-0476
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2006010979 Missouri
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2006010979 Missouri

Profile Details

NPI number 1013944024
LBN Legal business name Bertholdi, Autumn L.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 5th, 2023 - about 2 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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