Healthcare Provider Details

I. General information

NPI: 1518130541
Provider Name (Legal Business Name): WESTBY AREA SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 WEST AVE S
WESTBY WI
54667-1227
US

IV. Provider business mailing address

206 WEST AVE S
WESTBY WI
54667-1227
US

V. Phone/Fax

Practice location:
  • Phone: 608-634-0519
  • Fax: 608-634-0518
Mailing address:
  • Phone: 608-634-0519
  • Fax: 608-634-0518

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: CHAD DENNIS BERG
Title or Position: DIR. OF SPECIAL EDUC. AND PUPIL SER
Credential:
Phone: 608-634-0519