Provider Demographics
NPI:1306388996
Name:SCHUELLER, CHRISTIAN (CSFA, RSA)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:SCHUELLER
Suffix:
Gender:M
Credentials:CSFA, RSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12220 CHATTANOOGA PLZ STE 121
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4865
Mailing Address - Country:US
Mailing Address - Phone:803-716-7914
Mailing Address - Fax:
Practice Address - Street 1:12220 CHATTANOOGA PLZ
Practice Address - Street 2:SUITE 121
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2311
Practice Address - Country:US
Practice Address - Phone:803-716-7914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-14
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0136000271246ZC0007X
363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0136000271OtherBOARD OF MEDICINE
SC158702OtherNATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING (NBSTSA)