Broom, Sarah J
Broom, Sarah J is an individual health care provider with primary practice located at 501 Marshall St Ste 208, Jackson MS 39202-1651. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Broom, Sarah J can be contacted via phone (601) 352-2273.Contact Information
Primary practice address
501 Marshall St Ste 208
Jackson MS 39202-1651
Phone: (601) 352-2273
Fax: (601) 714-3415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 08705 | Mississippi |
Profile Details
| NPI number | 1326154980 |
|---|---|
| LBN Legal business name | Broom, Sarah J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326154980 | NPPES |
| Mississippi | MEDICAID | 00013736 |
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