Provider Demographics
NPI:1871742445
Name:UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Entity type:Organization
Organization Name:UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ACCOUNTING SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:G
Authorized Official - Last Name:WENUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-232-2329
Mailing Address - Street 1:712 BROADWAY ST S
Mailing Address - Street 2:
Mailing Address - City:MENOMONIE
Mailing Address - State:WI
Mailing Address - Zip Code:54751-2458
Mailing Address - Country:US
Mailing Address - Phone:715-232-2329
Mailing Address - Fax:715-232-2307
Practice Address - Street 1:221 10TH AVENUE EAST
Practice Address - Street 2:VOCATIONAL REHABILITATION BUILDING
Practice Address - City:MENOMONIE
Practice Address - State:WI
Practice Address - Zip Code:54751-2474
Practice Address - Country:US
Practice Address - Phone:715-232-1419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)