Jacob, Lisa Roselin

Jacob, Lisa Roselin is an individual health care provider with primary practice located at 6777 W Maple Rd , West Bloomfield MI 48322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Jacob, Lisa Roselin can be contacted via phone (313) 205-8581.

Contact Information

Primary practice address
6777 W Maple Rd West Bloomfield MI 48322
Phone: (313) 205-8581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036138036 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301109137 Michigan

Profile Details

NPI number 1871810879
LBN Legal business name Jacob, Lisa Roselin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2010
Last updated Jul 5th, 2018 - about 6 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.

Request for update

Popular Providers