Provider Demographics
NPI:1003031550
Name:OAK CREEK-FRANKLIN JT. SCHOOL DISTRICT
Entity Type:Organization
Organization Name:OAK CREEK-FRANKLIN JT. SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRETOR OF PUPIL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUJAWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-768-6176
Mailing Address - Street 1:7630 S 10TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-1912
Mailing Address - Country:US
Mailing Address - Phone:414-768-6176
Mailing Address - Fax:414-768-6172
Practice Address - Street 1:7630 S 10TH ST
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-1912
Practice Address - Country:US
Practice Address - Phone:414-768-6176
Practice Address - Fax:414-768-6172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44219700Medicaid