Khabie, Nissim

Khabie, Nissim is an individual health care provider with primary practice located at 2211 Park Ave , Minneapolis MN 55404-3711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Khabie, Nissim can be contacted via phone (612) 871-1144.

Contact Information

Primary practice address
2211 Park Ave Minneapolis MN 55404-3711
Phone: (612) 871-1144
Fax: (612) 871-2012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 42203 Minnesota

Profile Details

NPI number 1851393839
LBN Legal business name Khabie, Nissim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Mar 22nd, 2021 - 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 1851393839 NPPES
Wisconsin Other 34190100 MEDICAID - WISCONSIN
Wisconsin Other 1000350 MEDICAID - WISCONSIN
Wisconsin Other 1000010 MEDICAID - WISCONSIN
Wisconsin Other 1592346 MEDICAID - WISCONSIN
Wisconsin Other 01031020 MEDICAID - WISCONSIN
Wisconsin Other 141063 MEDICAID - WISCONSIN
Wisconsin MEDICAID 951427900 MEDICAID - WISCONSIN
Wisconsin Other 055M7KH MEDICAID - WISCONSIN

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