Individual
DR. JON V SCHELLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
8585 PICARDY AVE 310, BATON ROUGE, LA 70809-3679
(225) 767-5479
(225) 767-5147
Mailing address
8585 PICARDY AVE, BATON ROUGE, LA 70809-3679
(225) 767-5479
(225) 767-5147
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.015733
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366340
—
LA
Enumeration date
10/31/2005
Last updated
05/28/2020
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