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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN MACKERTICH BAMBAN, DC

Active Sole Proprietor

DR. JOHN MACKERTICH BAMBAN, DC is a Chiropractor healthcare provider located in DIBERVILLE, Mississippi. NPI 1235418807 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · DIBERVILLE, MS

Registration Details

NPI Number
1235418807
Provider Type
Individual
Gender
Male
NPI Issued
Aug 12, 2011 (14.824456146069 yrs)
Last Updated
Oct 19, 2020
Licenses
1179 (MS)
1179 (MS)
1179 (MS)
1179 (MS)
Sole Proprietor
Yes

Practice Information

Address
11516 LAMEY BRIDGE RD STE E
DIBERVILLE, MS, 395402725
Browse MS providers · Browse ZIP 39540
Phone
2282076427
Fax
2282076428
Primary Specialty
Chiropractor
111N00000X
Additional Specialty
Rehabilitation (Chiropractor)
Additional Specialty
Chiropractor

Other Chiropractor Providers in DIBERVILLE, MS

Name Credential NPI
DR. BERNARD JOSEPH KEENUM D.C. 1760654925
NICHOLAS ANDREW LOCOCO D.C. 1477719847
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.