Provider Demographics
NPI:1831725985
Name:PRISNEAC, ION (MD)
Entity type:Individual
Prefix:
First Name:ION
Middle Name:
Last Name:PRISNEAC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1367 STEWARTSTOWN RD APT T02
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-8054
Mailing Address - Country:US
Mailing Address - Phone:702-890-8399
Mailing Address - Fax:
Practice Address - Street 1:64 MEDICAL CENTER DR RM 4601
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3409
Practice Address - Country:US
Practice Address - Phone:304-293-1621
Practice Address - Fax:304-293-2925
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program