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Contact Information

CHRISTOPHER T BAMBURG, PA-C
1635 MARVEL ST
COUSHATTA, LA71019-9022
 Phone: 318-932-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHRISTOPHER T BAMBURG · (Male)

NPI Number 1003365636
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/23/2016
Last updated 07/03/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 303579
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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