Prussin, Aaron J
Prussin, Aaron J is an individual health care provider with primary practice located at 830 Davis St Suite 1, Blacksburg VA 24060-7010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Prussin, Aaron J can be contacted via phone (540) 381-0344.Contact Information
Primary practice address
830 Davis St Suite 1
Blacksburg VA 24060-7010
Phone: (540) 381-0344
Fax: (540) 381-1462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 0101051964 | Virginia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | FP5290337 | Utah |
Profile Details
| NPI number | 1609867266 |
|---|---|
| LBN Legal business name | Prussin, Aaron J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Nov 12th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609867266 | NPPES |
| Virginia | Other | 006500111 | VIRGINIA PREMIER |
| Virginia | Other | 1000460 | VIRGINIA PREMIER |
| Virginia | Other | 018759S56 | VIRGINIA PREMIER |
| Virginia | Other | 127380 | VIRGINIA PREMIER |
| Virginia | Other | A2283 | VIRGINIA PREMIER |
| Virginia | Other | C09521 | VIRGINIA PREMIER |
| Virginia | Other | 6566060005 | VIRGINIA PREMIER |
| Virginia | Other | 541982275 | VIRGINIA PREMIER |
| Virginia | Other | 140176 | VIRGINIA PREMIER |
| Virginia | Other | C06556 | VIRGINIA PREMIER |
| Virginia | MEDICAID | 1609867266 | VIRGINIA PREMIER |
| Virginia | Other | 332829 | VIRGINIA PREMIER |
| Virginia | Other | 541982275 | VIRGINIA PREMIER |
| Virginia | Other | 5860049 | VIRGINIA PREMIER |
| Virginia | Other | C06637 | VIRGINIA PREMIER |
| Virginia | MEDICAID | 006500111 | VIRGINIA PREMIER |
| Virginia | Other | 140176 | VIRGINIA PREMIER |
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