Vascular Clinic

LBN: Jon V. Schellack, M.D. (A Professional Medical Corporation)
Vascular Clinic is an health care organization with primary practice located at 5425 Brittany Dr # B , Baton Rouge LA 70808-9144. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Jon V. Schellack, M.D. (A Professional Medical Corporation) can be contacted via phone (225) 767-5479, or through Schellack, Jon V via phone (225) 767-5479.

Contact Information

Primary practice address
5425 Brittany Dr # B Baton Rouge LA 70808-9144
Phone: (225) 767-5479
Fax: (225) 767-5147
Website:
Map and Directions
Authorized official contact:
Name: Schellack, Jon V Doctor of Medicine (MD)
Phone: (225) 767-5479

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1174624712
LBN Legal business name Jon V. Schellack, M.D. (A Professional Medical Corporation)
DBA Doing business as Vascular Clinic
Authorized official Schellack, Jon V Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174624712 NPPES
Louisiana MEDICAID 1446564

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