Provider Demographics
NPI:1033219407
Name:ZELLER, SHELDON HOWARD (DC W/PT PRIVILEGES)
Entity type:Individual
Prefix:
First Name:SHELDON
Middle Name:HOWARD
Last Name:ZELLER
Suffix:
Gender:M
Credentials:DC W/PT PRIVILEGES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3115 SMITH AVENUE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4541
Mailing Address - Country:US
Mailing Address - Phone:410-486-4338
Mailing Address - Fax:410-526-5982
Practice Address - Street 1:3115 SMITH AVE
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-4541
Practice Address - Country:US
Practice Address - Phone:410-486-4338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD501306225100000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
108521OtherEMPLOYER HEALTH PLANS
395324OtherMAMSI
H178OtherBCBS NATIONAL ACCTS
5634165OtherCIGNA
M990SHOtherBCBS
MDH178OtherMEDICARE PART B
T3780001OtherFEDERAL BCBS
MD216738700Medicaid
5634165OtherCIGNA
395324OtherMAMSI
M990SHOtherBCBS
5455030OtherAETNA PPO