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Individual
DR. JOHN G BIBB
Active
Individual
DR. JOHN G BIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1326
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15717000040
QUALCHOICE
AR
01
—
5S674
AR BLUECROSS BLUESHIELD
AR
01
—
P00093318
RAILROAD MEDICARE
AR
Enumeration date
10/18/2006
Last updated
07/08/2007
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