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Contact Information

SONJA S BAMBURG
104 CONNIE WALTERS RD
CALHOUN, LA71225-8674
 Phone: 318-801-8456
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SONJA S BAMBURG · (Female)

NPI Number 1295421501
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2023
Last updated 11/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 232296
  • LA License # 73137
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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