Broome, Charlene Bell
Broome, Charlene Bell is an individual health care provider with primary practice located at 6414 U S Highway 98 Ste 80, Hattiesburg MS 39402-7815. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Broome, Charlene Bell can be contacted via phone (601) 261-1800.Contact Information
Primary practice address
6414 U S Highway 98 Ste 80
Hattiesburg MS 39402-7815
Phone: (601) 261-1800
Fax: (601) 261-1801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 12482 | Mississippi |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 12482 | Mississippi |
Profile Details
NPI number | 1720007040 |
---|---|
LBN Legal business name | Broome, Charlene Bell |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2006 |
Last updated | Aug 11th, 2020 - about 4 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 | 1720007040 | NPPES |
Mississippi | MEDICAID | 0119222 |
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