Provider Demographics
NPI:1902071384
Name:ROSENDALE-BRANDON SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ROSENDALE-BRANDON SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:T
Authorized Official - Last Name:BILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-872-2126
Mailing Address - Street 1:200 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROSENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:54974-9642
Mailing Address - Country:US
Mailing Address - Phone:920-872-2126
Mailing Address - Fax:
Practice Address - Street 1:200 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ROSENDALE
Practice Address - State:WI
Practice Address - Zip Code:54974-9642
Practice Address - Country:US
Practice Address - Phone:920-872-2126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4956251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44224100Medicaid