Fahley, Alisha Frances

Fahley, Alisha Frances is an individual health care provider with primary practice located at 100 County Road B , Shawano WI 54166-7072. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fahley, Alisha Frances can be contacted via phone (715) 524-2161.

Contact Information

Primary practice address
100 County Road B Shawano WI 54166-7072
Phone: (715) 524-2161
Fax: (715) 524-8164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 56539 Minnesota

Profile Details

NPI number 1255691515
LBN Legal business name Fahley, Alisha Frances
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2012
Last updated Sep 1st, 2015 - about 10 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 1255691515 NPPES
Minnesota MEDICAID 1255691515
Minnesota Other 0001-0104860
Minnesota Other P01224932
Minnesota Other 1255691515

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