Bundrick, Claude Youngblood

Bundrick, Claude Youngblood is an individual health care provider with primary practice located at 471 Ashley Ridge Blvd , Shreveport LA 71106-7229. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Bundrick, Claude Youngblood can be contacted via phone (318) 795-4770.

Contact Information

Primary practice address
471 Ashley Ridge Blvd Shreveport LA 71106-7229
Phone: (318) 795-4770
Fax: (318) 795-4775
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 205789 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1043538796
LBN Legal business name Bundrick, Claude Youngblood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2010
Last updated Dec 11th, 2020 - about 6 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 1043538796 NPPES
Louisiana MEDICAID 2102915

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