Bamburg, Christopher Blake

Bamburg, Christopher Blake is an individual health care provider with primary practice located at 920 Oliver Rd , Monroe LA 71201-5702. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bamburg, Christopher Blake can be contacted via phone (318) 807-6267.

Contact Information

Primary practice address
920 Oliver Rd Monroe LA 71201-5702
Phone: (318) 807-6267
Fax: (318) 812-6458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA200394 Louisiana

Profile Details

NPI number 1780994277
LBN Legal business name Bamburg, Christopher Blake
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2010
Last updated Jun 11th, 2019 - about 7 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 1780994277 NPPES
Louisiana MEDICAID 2133853

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