Individual
DR. JOHN G BIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1400 W COURT ST, SUITE 1, PARAGOULD, AR 72450-4134
(870) 239-6038
(870) 239-6037
Mailing address
1400 W COURT ST, SUITE 1, PARAGOULD, AR 72450-4134
(870) 239-6038
(870) 239-6037
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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