Provider Demographics
NPI:1295915551
Name:NORTHERN OZAUKEE SCHOOL DISTRICT
Entity type:Organization
Organization Name:NORTHERN OZAUKEE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:HARBRON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:262-692-2489
Mailing Address - Street 1:401 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:FREDONIA
Mailing Address - State:WI
Mailing Address - Zip Code:53021-9491
Mailing Address - Country:US
Mailing Address - Phone:262-692-2464
Mailing Address - Fax:262-692-6257
Practice Address - Street 1:401 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:FREDONIA
Practice Address - State:WI
Practice Address - Zip Code:53021-9491
Practice Address - Country:US
Practice Address - Phone:262-692-2464
Practice Address - Fax:262-692-6257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44222300Medicaid