DR. JOHN MACKERTICH BAMBAN DC NPI 1235418807

NPI Information

  • NPI: 1235418807
  • Provider Name: DR. JOHN MACKERTICH BAMBAN, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 11516 LAMEY BRIDGE RD STE E
    DIBERVILLE, MS
    ZIP 39540
  • Phone: (228) 207-6427

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NPI Details

DR. John Mackertich Bamban, DC is a chiropractor in Diberville, MS with 23 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. John Mackertich Bamban, DC NPI is 1235418807. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE
Graduation Year:2003

The provider's business location address is:

11516 LAMEY BRIDGE RD STE E
DIBERVILLE, MS
ZIP 39540-725
Phone: (228) 207-6427
Fax: (228) 207-6428

The enumeration date for this NPI number is 8/12/2011 and was last updated on 10/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor1179MISSISSIPPIYes
2111NN1001XChiropractorNutrition1179MISSISSIPPINo
3111NS0005XChiropractorSports Physician1179MISSISSIPPINo
4111NR0400XChiropractorRehabilitation1179MISSISSIPPINo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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