Provider Demographics
NPI:1396052502
Name:INSTITUTE OF TECHNOLOGY AND ACADEMICS
Entity type:Organization
Organization Name:INSTITUTE OF TECHNOLOGY AND ACADEMICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KULBIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-402-9114
Mailing Address - Street 1:8940 N 85TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-2104
Mailing Address - Country:US
Mailing Address - Phone:414-365-9375
Mailing Address - Fax:414-365-9376
Practice Address - Street 1:8940 N 85TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53224-2104
Practice Address - Country:US
Practice Address - Phone:414-365-9375
Practice Address - Fax:414-365-9376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI401527251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)