Bamburg, Jerald W

Bamburg, Jerald W is an sole proprietor health care provider with primary practice located at 106 N Bend Dr , Pineville LA 71360-4677. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities is his primary health care specialty. Bamburg, Jerald W can be contacted via phone (318) 442-4498.

Contact Information

Primary practice address
106 N Bend Dr Pineville LA 71360-4677
Phone: (318) 442-4498
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 951 Louisiana
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 951 Louisiana

Profile Details

NPI number 1598926644
LBN Legal business name Bamburg, Jerald W
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2008
Last updated Jan 11th, 2010 - about 16 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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