Mastroianni, Autumn L

Mastroianni, Autumn L is an individual health care provider with primary practice located at 843 Fairview Ave Suite B6, Bowling Green KY 42101-4914. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mastroianni, Autumn L can be contacted via phone (270) 901-3412.

Contact Information

Primary practice address
843 Fairview Ave Suite B6 Bowling Green KY 42101-4914
Phone: (270) 901-3412
Fax: (270) 901-3413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2119 Kentucky

Profile Details

NPI number 1174898456
LBN Legal business name Mastroianni, Autumn L
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2012
Last updated Mar 20th, 2012 - about 12 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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