Broom, Cody Lee
Broom, Cody Lee is an individual health care provider with primary practice located at 3261 Highway 49 , Collins MS 39428-3876. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Broom, Cody Lee can be contacted via phone (601) 921-6043.Contact Information
Primary practice address
3261 Highway 49
Collins MS 39428-3876
Phone: (601) 921-6043
Fax: (601) 921-6044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT7219 | Mississippi |
Profile Details
| NPI number | 1902537723 |
|---|---|
| LBN Legal business name | Broom, Cody Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2022 |
| Last updated | Jun 22nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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