Provider Demographics
NPI:1346647286
Name:SCHELLERT, STEVEN JOSEPH JR (LVN)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:JOSEPH
Last Name:SCHELLERT
Suffix:JR
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 YGNACIO VALLEY RD APT 35
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3251
Mailing Address - Country:US
Mailing Address - Phone:415-672-0729
Mailing Address - Fax:
Practice Address - Street 1:1919 YGNACIO VALLEY RD APT 35
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3251
Practice Address - Country:US
Practice Address - Phone:415-672-0729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250854164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse