MINOCQUA J1 NPI 1184803710

NPI Details

MINOCQUA J1 is a local education agency lea in Minocqua, WI. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. MINOCQUA J1 NPI is 1184803710. The provider is registered as an organization entity type.

The provider's business location address is:

7450 TITUS DR
MINOCQUA, WI
ZIP 54548-139
Phone: (715) 356-5206
Fax: (715) 358-2649

The provider's authorized official is Jim Ellis .
The authorized official title is District Administrator and has the following contact phone number (715) 356-5206.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 10/31/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.