Broom, Janet L.

Broom, Janet L. is an individual health care provider with primary practice located at 1275 Hawthorn Rd , Salem IL 62881-1028. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Broom, Janet L. can be contacted via phone (618) 548-4545.

Contact Information

Primary practice address
1275 Hawthorn Rd Salem IL 62881-1028
Phone: (618) 548-4545
Fax: (618) 548-4577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209.00 8351 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.00 8351 Illinois

Profile Details

NPI number 1740297498
LBN Legal business name Broom, Janet L.
Credentials MSN, APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Apr 8th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740297498 NPPES
Missouri MEDICAID 427355003

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