Jacobs, Nisha Lassi

Jacobs, Nisha Lassi is an individual health care provider with primary practice located at 11850 Blackfoot St Ne Suite 100, Coon Rapids MN 55433-2598. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Jacobs, Nisha Lassi can be contacted via phone (763) 712-2100.

Contact Information

Primary practice address
11850 Blackfoot St Ne Suite 100 Coon Rapids MN 55433-2598
Phone: (763) 712-2100
Fax: (763) 712-2190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 49898 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 49898 Minnesota

Profile Details

NPI number 1134241391
LBN Legal business name Jacobs, Nisha Lassi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Aug 24th, 2016 - about 9 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 1134241391 NPPES
Minnesota MEDICAID 958440000

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