=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528078334
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BOARD OF EDUCATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/08/2006
-----------------------------------------------------
Last Update Date | 06/20/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 310 W BACON ST
-----------------------------------------------------
City | HILLSDALE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49242-1546
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 517-437-0990
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 310 W BACON ST
-----------------------------------------------------
City | HILLSDALE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49242-1546
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 517-437-0990
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR, BUSINESS AND FINANCE
-----------------------------------------------------
Name | BELINDA SHAFFER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 517-437-0990
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------