Broome, Monroe A

Broome, Monroe A is an individual health care provider with primary practice located at 1112 E Weisgarber Rd Ste 102 , Knoxville TN 37909-2647. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Broome, Monroe A can be contacted via phone (865) 558-9862.

Contact Information

Primary practice address
1112 E Weisgarber Rd Ste 102 Knoxville TN 37909-2647
Phone: (865) 558-9862
Fax: (865) 584-3478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15641 Tennessee
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15641 Tennessee

Profile Details

NPI number 1013076272
LBN Legal business name Broome, Monroe A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Oct 21st, 2022 - 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 1013076272 NPPES
Tennessee MEDICAID 3012222

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