Provider Demographics
NPI:1558769869
Name:SEJONG ACADEMY OF MINNESOTA
Entity Type:Organization
Organization Name:SEJONG ACADEMY OF MINNESOTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:TIPKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-330-6944
Mailing Address - Street 1:1330 BLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-2007
Mailing Address - Country:US
Mailing Address - Phone:651-330-6944
Mailing Address - Fax:
Practice Address - Street 1:1330 BLAIR AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-2007
Practice Address - Country:US
Practice Address - Phone:651-330-6944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)