Maly, Alisha Fay

Maly, Alisha Fay is an sole proprietor health care provider with primary practice located at 10400 75Th St Aurora Medical Center, Kenosha WI 53142. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Maly, Alisha Fay can be contacted via phone (262) 697-7000.

Contact Information

Primary practice address
10400 75Th St Aurora Medical Center Kenosha WI 53142
Phone: (262) 697-7000
Fax: (630) 734-1560
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1690023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1690-023 Wisconsin

Profile Details

NPI number 1275517443
LBN Legal business name Maly, Alisha Fay
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated Jul 31st, 2018 - about 6 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 1275517443 NPPES
Wisconsin MEDICAID 41987700

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