Broom, Jessica Rachelle

Broom, Jessica Rachelle is an sole proprietor health care provider with primary practice located at 610 Yellow Jacket Dr , Starkville MS 39759-3736. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Broom, Jessica Rachelle can be contacted via phone (662) 312-8388.

Contact Information

Primary practice address
610 Yellow Jacket Dr Starkville MS 39759-3736
Phone: (662) 312-8388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT1663 Mississippi

Profile Details

NPI number 1962745364
LBN Legal business name Broom, Jessica Rachelle
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2013
Last updated Apr 3rd, 2013 - about 12 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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