Individual
MEREDITH JEAN SCHELLHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8131 SPYGLASS HILL DR, FAYETTEVILLE, PA 17222-5500
(717) 749-3181
(717) 349-3191
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 749-3181
(717) 349-3191
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055942
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007307260057
MEDICAID GROUP #
PA
05
—
103149291
—
PA
Enumeration date
03/17/2013
Last updated
02/06/2025
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