Healthcare Provider Details

I. General information

NPI: 1629370713
Provider Name (Legal Business Name): OFFICE OF THE STATE SUPERINTENDENT OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2010
Last Update Date: 09/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 1ST ST NE 9TH FLOOR
WASHINGTON DC
20002-4227
US

IV. Provider business mailing address

810 1ST ST NE 9TH FLOOR
WASHINGTON DC
20002-4227
US

V. Phone/Fax

Practice location:
  • Phone: 202-727-6436
  • Fax: 202-727-2019
Mailing address:
  • Phone: 202-724-7739
  • Fax: 202-727-2019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: MS. HANSEUL KANG
Title or Position: SUPERINTENDENT
Credential:
Phone: 202-724-7739