Provider Demographics
NPI:1932388469
Name:SHEBOYGAN AREA SCHOOL DISTRICT
Entity type:Organization
Organization Name:SHEBOYGAN AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST SUPT OF STUDENT/INSTR SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILCENSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-459-4030
Mailing Address - Street 1:830 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-4427
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:920-459-6713
Practice Address - Street 1:830 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-4427
Practice Address - Country:US
Practice Address - Phone:920-459-4030
Practice Address - Fax:920-459-6713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)