Malkowski, Dianna L
Malkowski, Dianna L is an individual health care provider with primary practice located at 2725 Jackson St , Oshkosh WI 54901-1513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Malkowski, Dianna L can be contacted via phone (920) 223-7500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2154 | Wisconsin |
Profile Details
| NPI number | 1811194699 |
|---|---|
| LBN Legal business name | Malkowski, Dianna L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Jan 29th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811194699 | NPPES |
| Wisconsin | MEDICAID | 41940000 |
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