Provider Demographics
NPI:1538301353
Name:MSAD 75
Entity Type:Organization
Organization Name:MSAD 75
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPED ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-729-1557
Mailing Address - Street 1:50 REPUBLIC AVE
Mailing Address - Street 2:
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-1136
Mailing Address - Country:US
Mailing Address - Phone:207-729-1557
Mailing Address - Fax:207-725-9354
Practice Address - Street 1:50 REPUBLIC AVE
Practice Address - Street 2:
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-1136
Practice Address - Country:US
Practice Address - Phone:207-729-1557
Practice Address - Fax:207-725-9354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)