Saloom, Charlene Rae

Saloom, Charlene Rae is an individual health care provider with primary practice located at 208 S. Arch Street , Connellsville PA 15425-3519. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Saloom, Charlene Rae can be contacted via phone (724) 626-2630.

Contact Information

Primary practice address
208 S. Arch Street Connellsville PA 15425-3519
Fax: (724) 626-2655
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS013236 Pennsylvania

Profile Details

NPI number 1558387472
LBN Legal business name Saloom, Charlene Rae
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Sep 27th, 2011 - about 15 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 1558387472 NPPES
Pennsylvania MEDICAID 1007288440037
Pennsylvania MEDICAID 101706672

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