Rushin, Audrey M
Rushin, Audrey M is an sole proprietor health care provider with primary practice located at 1800 Town Center Dr Ste 420 , Reston VA 20190-3240. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Rushin, Audrey M can be contacted via phone (703) 554-5635.Contact Information
Primary practice address
1800 Town Center Dr Ste 420
Reston VA 20190-3240
Phone: (703) 554-5635
Fax: (703) 783-1356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101235418 | Virginia |
Profile Details
| NPI number | 1689727349 |
|---|---|
| LBN Legal business name | Rushin, Audrey M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jan 14th, 2026 - about 10 months 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 | 1689727349 | NPPES |
| Virginia | Other | 299594 | AMERIGROUP |
| Virginia | MEDICAID | 4945247 | AMERIGROUP |
| Virginia | Other | 139522 | AMERIGROUP |
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