Provider Demographics
NPI:1548208200
Name:SHIPPENSBURG AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SHIPPENSBURG AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR OF SPECIAL EDUCATION
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-530-2716
Mailing Address - Street 1:317 N MORRIS ST
Mailing Address - Street 2:
Mailing Address - City:SHIPPENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17257-1635
Mailing Address - Country:US
Mailing Address - Phone:717-530-2716
Mailing Address - Fax:
Practice Address - Street 1:317 N MORRIS ST
Practice Address - Street 2:
Practice Address - City:SHIPPENSBURG
Practice Address - State:PA
Practice Address - Zip Code:17257-1635
Practice Address - Country:US
Practice Address - Phone:717-530-2716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014854990001Medicaid