| Ab Psychiatry Llc | |
|
110 E Main St Ste 195 Salem VA 24153-3805 | |
| (540) 200-5045 | |
| Not Available |
| Full Name | Ab Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 110 E Main St Ste 195, Salem, Virginia |
| Authorized Official Name and Position | Aaron Boren (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5402005045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ab Psychiatry Llc 110 E Main St Ste 195 Salem VA 24153-3805 Ph: (540) 200-5045 | Ab Psychiatry Llc 110 E Main St Ste 195 Salem VA 24153-3805 Ph: (540) 200-5045 |
| NPI Number | 1235834896 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Medicare PECOS PAC ID | 2264890490 |
|---|---|
| Medicare Enrollment ID | O20230621001484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235834896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Aaron S Boren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740560689 PECOS PAC ID: 3870844509 Enrollment ID: I20220729001304 |
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