Provider Demographics
NPI:1730305269
Name:WEST ALLIS SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WEST ALLIS SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUPIL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:KALEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-604-3071
Mailing Address - Street 1:9333 W LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-2303
Mailing Address - Country:US
Mailing Address - Phone:414-604-3071
Mailing Address - Fax:414-546-5795
Practice Address - Street 1:9333 W LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-2303
Practice Address - Country:US
Practice Address - Phone:414-604-3071
Practice Address - Fax:414-546-5795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44202700Medicaid