Provider Demographics
NPI:1306025945
Name:BROWN COUNTY
Entity Type:Organization
Organization Name:BROWN COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:GORON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-336-5754
Mailing Address - Street 1:755 SCHEURING RD
Mailing Address - Street 2:
Mailing Address - City:DE PERE
Mailing Address - State:WI
Mailing Address - Zip Code:54115-1701
Mailing Address - Country:US
Mailing Address - Phone:920-336-5754
Mailing Address - Fax:
Practice Address - Street 1:755 SCHEURING RD
Practice Address - Street 2:
Practice Address - City:DE PERE
Practice Address - State:WI
Practice Address - Zip Code:54115-1701
Practice Address - Country:US
Practice Address - Phone:920-336-5754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44218500Medicaid