Provider Demographics
NPI:1962458919
Name:BARTEE, CHRIS (ARPN, BC)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:BARTEE
Suffix:
Gender:M
Credentials:ARPN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 634909
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-4909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1990 HOLTON AVE E
Practice Address - Street 2:
Practice Address - City:BIG STONE GAP
Practice Address - State:VA
Practice Address - Zip Code:24219-3350
Practice Address - Country:US
Practice Address - Phone:276-523-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166579363L00000X
TN11581207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00364653OtherRAILROAD MEDICARE
TN3643888Medicaid
VAP00385289OtherRAILROAD MEDICARE
TN4133719OtherBC BS
TN4133719OtherBC BS
VAP00385289OtherRAILROAD MEDICARE
TN103I501059Medicare PIN
VA012330E59Medicare PIN