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Contact Information

AARON J PRUSSIN, MD
830 DAVIS ST
SUITE 1
BLACKSBURG, VA24060-7010
 Phone: 540-381-0344
 Fax: 540-381-1462
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for AARON J PRUSSIN · (Male)

NPI # 1609867266
Status Active
Credentials MD
Entity Individual
Enumeration date 11/02/2005
Last updated 11/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # FP5290337
  • VA License # 0101051964
  • VA Medicaid 006500111
  • VA Medicaid 1609867266
  • VA Other 5860049 AETNA US HEALTHCARE
  • VA Other 140176 ANTHEM
  • VA Other 6566060005 CIGNA
  • VA Other 541982275 JOHN DEERE
  • VA Other 332829 MAMSI
  • VA Other A2283 MEDCOST
  • VA Other C06637 MEDICARE GROUP #
  • VA Other C06556 MEDICARE GROUP PTAN
  • VA Other C09521 MEDICARE GROUP PTAN
  • VA Other 018759S56 MEDICARE INDIVIDUAL PTAN
  • VA Other 127380 SOUTHERN HEALTH
  • VA Other 1000460 UNITED HEALTHCARE
  • VA Other 541982275 VIRGINIA HEALTH NETWORK
  • VA Other 140176 VIRGINIA HEALTHKEEPERS
  • VA Other 006500111 VIRGINIA PREMIER
Hospital affiliation(s)
  • UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS - (Acute Care)
    50 NORTH MEDICAL DRIVE
    SALT LAKE CITY, UT 84132
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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