Healthcare Provider Details

I. General information

NPI: 1750315131
Provider Name (Legal Business Name): WEST SHORE EDUCATIONAL SERVICE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 06/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 WEST US 10
LUDINGTON MI
49431-9307
US

IV. Provider business mailing address

2130 WEST US 10
LUDINGTON MI
49431-9307
US

V. Phone/Fax

Practice location:
  • Phone: 231-757-3716
  • Fax: 231-757-4208
Mailing address:
  • Phone: 231-757-3716
  • Fax: 231-757-4208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM MUELLER
Title or Position: SPECIAL ED DIRECTOR
Credential:
Phone: 231-757-3716