Bamban, John Mackertich
Bamban, John Mackertich is an sole proprietor health care provider with primary practice located at 11516 Lamey Bridge Rd Ste E , Diberville MS 39540-2725. He recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Nutrition, Chiropractic Providers / Sports Physician, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Bamban, John Mackertich can be contacted via phone (228) 207-6427.Contact Information
Primary practice address
11516 Lamey Bridge Rd Ste E
Diberville MS 39540-2725
Phone: (228) 207-6427
Fax: (228) 207-6428
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Nutrition | 111NN1001X | 1179 | Mississippi |
Chiropractic Providers / Sports Physician | 111NS0005X | 1179 | Mississippi |
Chiropractic Providers / Rehabilitation | 111NR0400X | 1179 | Mississippi |
Chiropractic Providers / Chiropractor | 111N00000X | 1179 | Mississippi |
Profile Details
NPI number | 1235418807 |
---|---|
LBN Legal business name | Bamban, John Mackertich |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 12th, 2011 |
Last updated | Oct 19th, 2020 - about 5 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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