Provider Demographics
NPI:1447490743
Name:PENNSYLVANIA CYBER CHARTER SCHOOL
Entity type:Organization
Organization Name:PENNSYLVANIA CYBER CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANTOLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-643-1180
Mailing Address - Street 1:1706 SAW GRASS COURT
Mailing Address - Street 2:C/O WHITE MANAGEMENT INC.
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237
Mailing Address - Country:US
Mailing Address - Phone:412-366-0535
Mailing Address - Fax:
Practice Address - Street 1:1 LINCOLN PARK
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:PA
Practice Address - Zip Code:15059-1535
Practice Address - Country:US
Practice Address - Phone:412-366-0535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)