Provider Demographics
NPI:1770709867
Name:GILBRALTAR AREA SCHOOL DISTRICT
Entity type:Organization
Organization Name:GILBRALTAR AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEYFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-868-3284
Mailing Address - Street 1:3924 HIGHWAY 42
Mailing Address - Street 2:
Mailing Address - City:FISH CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:54212-9755
Mailing Address - Country:US
Mailing Address - Phone:920-868-3284
Mailing Address - Fax:920-868-2417
Practice Address - Street 1:3924 HIGHWAY 42
Practice Address - Street 2:
Practice Address - City:FISH CREEK
Practice Address - State:WI
Practice Address - Zip Code:54212-9755
Practice Address - Country:US
Practice Address - Phone:920-868-3284
Practice Address - Fax:920-868-2417
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
WI44204900Medicaid