Individual provider · Type 1 NPI
Jon V. Schellack, MD, F.A.C.S.
Specialist · Baton Rouge, LA
NPI number
1780675736
Active
Practice location
8585 Picardy Ave 310
Baton Rouge, LA 70809-3679
Fax (225) 767-5147
Mailing address
8585 Picardy Ave
Baton Rouge, LA 70809-3679
Other practice locations
- 505 E Airport Ave, Baton Rouge, LA 70806-6515 · (225) 769-2572
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MD.015733 (LA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1780675736
Jon V. Schellack, MD, F.A.C.S.'s National Provider Identifier is 1780675736, issued on Oct 31, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Baton Rouge, LA. The record was last updated on May 28, 2020.