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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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