Provider Demographics
NPI:1508090861
Name:BUSINESS AND ECONOMICS ACADEMY OF MILWAUKEE
Entity Type:Organization
Organization Name:BUSINESS AND ECONOMICS ACADEMY OF MILWAUKEE
Other - Org Name:BEAM
Other - Org Type:Other Name
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:JUDE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:414-615-3915
Mailing Address - Street 1:3814 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208-1351
Mailing Address - Country:US
Mailing Address - Phone:414-615-3915
Mailing Address - Fax:414-444-2289
Practice Address - Street 1:3814 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53208-1351
Practice Address - Country:US
Practice Address - Phone:414-615-3915
Practice Address - Fax:414-444-2289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44223500Medicaid