Individual
SCHUYLER SHELLONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1482 SLATER RD STE A, FERNDALE, WA 98248-8919
(360) 380-3144
Mailing address
1416 N FOREST ST APT 201, BELLINGHAM, WA 98225-4505
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E096385
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E096385
NORTHERN CALIFORNIA EMT REGISTRY NUMBER
CA
01
—
E3019741
NREMT REGISTRY NUMBER
CA
Enumeration date
01/04/2016
Last updated
01/04/2016
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