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Dr. John Mackertich Bamban

Chiropractor Nutrition Rehabilitation Chiropractor Chiropractic Sports Physician

11516 Lamey Bridge Rd Ste E
Diberville , Mississippi 39540-2725

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Image

Dr. John Mackertich Bamban

Chiropractor Nutrition Rehabilitation Chiropractor Chiropractic Sports Physician

11516 Lamey Bridge Rd Ste E
Diberville , Mississippi 39540-2725

(770) 733-5205

Write a Review Save Call

Dr. John Mackertich Bamban

Chiropractor Nutrition Rehabilitation Chiropractor Chiropractic Sports Physician

11516 Lamey Bridge Rd Ste E
Diberville , Mississippi 39540-2725

(770) 733-5205 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Chiropractor
  • Nutrition
  • Rehabilitation Chiropractor
  • Chiropractic Sports Physician

Languages spoken

  • English

Location

11516 Lamey Bridge Rd Ste E Diberville , Mississippi 39540-2725

First Address

  • Dr. John Mackertich Bamban
  • 10028b Fournier Ave
  • Diberville, MS
  • Zip : 39540-5424
  • Phone : (770) 733-5205

Second Address

  • Dr. John Mackertich Bamban
  • 11516 Lamey Bridge Rd Ste E
  • Diberville, MS
  • Zip : 39540-2725
  • Fax : (228) 207-6428
  • Phone : (228) 207-6427

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FAQs


Where did Dr. John Mackertich Bamban attend graduate school?

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Where did Dr. John Mackertich Bamban do his residency?

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Where did Dr. John Mackertich Bamban do his fellowship?

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Is Dr. John Mackertich Bamban board certified?

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What type of doctor is Dr. John Mackertich Bamban

Chiropractor

In what state does Dr. John Mackertich Bamban practice in?

Mississippi

Where is Dr. John Mackertich Bamban ’s practice located?

11516 Lamey Bridge Rd Ste E , Diberville, Mississippi, 39540-2725

What is Dr. John Mackertich Bamban ’s gender?

Male

Is Dr. John Mackertich Bamban a sole practitioner?

No

Is Dr. John Mackertich Bamban accepting new patients?

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What languages does Dr. John Mackertich Bamban speak?

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Does Dr. John Mackertich Bamban accept insurance?

Yes, Dr. John Mackertich Bamban accepts insurance

Does Dr. John Mackertich Bamban offers telemedicine?

Dr. John Mackertich Bamban has not indicated if he offers telemedicine

What is Dr. John Mackertich Bamban ’s professional license number?

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What is Dr. John Mackertich Bamban ’s NPI number?

1235418807

Does Dr. John Mackertich Bamban have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 111N00000X Chiropractor 1179 MS
N 111NN1001X Nutrition 1179 MS
N 111NR0400X Rehabilitation Chiropractor 1179 MS
N 111NS0005X Chiropractic Sports Physician 1179 MS

National Provider Identifier

NPI 1235418807
Provider Name Dr. John Mackertich Bamban
First Address Diberville, MS 39540-5424
Second Address Diberville, MS 39540-2725
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 12/08/2011
Last Update Date 19/10/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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