=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861528648
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STATE OF DELAWARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2007
-----------------------------------------------------
Last Update Date | 07/08/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4550 NEW LINDEN HILL RD
-----------------------------------------------------
City | WILMINGTON
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19808-2930
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-552-3700
-----------------------------------------------------
Fax | 302-992-7824
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4550 NEW LINDEN HILL RD
-----------------------------------------------------
City | WILMINGTON
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19808-2930
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-552-3700
-----------------------------------------------------
Fax | 302-992-7824
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SUPERINTENDENT
-----------------------------------------------------
Name | ROBERT ANDRZEJEWSKI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 302-552-3702
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------