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
Fax: (601) 261-1801
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720007040 NPPES
Mississippi MEDICAID 0119222

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