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Contact Information

ALISHA F MALY, PA
10400 75TH ST
AURORA MEDICAL CENTER
KENOSHA, WI53142
 Phone: 262-697-7000
 Fax: 630-734-1560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ALISHA F MALY · (Male)

NPI # 1275517443
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/01/2005
Last updated 07/31/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 1690-023
  • WI License # 1690023
  • WI Medicaid 41987700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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