JBCHIRO1 LLC NPI 1790158293

NPI Information

  • NPI: 1790158293
  • Provider Name: JBCHIRO1 LLC
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Doing Business As: ADVANCED CHIROPRACTIC AND WELLNESS
  • Address: 11516 LAMEY BRIDGE RD
    SUITE E
    DIBERVILLE, MS
    ZIP 39540
  • Phone: (228) 207-6427

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NPI Details

JBCHIRO1 LLC is a preferred provider organization in Diberville, MS. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. JBCHIRO1 LLC NPI is 1790158293. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Chiropractic And Wellness.

The provider's business location address is:

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

The provider's authorized official is John Bamban .
The authorized official title is Owner and has the following contact phone number (228) 207-6427.

The enumeration date for this NPI number is 11/5/2015 and was last updated on 11/5/2015.

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
1305R00000XPreferred Provider Organization1179MISSISSIPPIYes

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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