Healthcare Provider Details
I. General information
NPI: 1962458919
Provider Name (Legal Business Name): CHRISTOPHER A BARTEE ARPN, BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/25/2006
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1990 HOLTON AVE E
BIG STONE GAP VA
24219-3350
US
IV. Provider business mailing address
PO BOX 634909
CINCINNATI OH
45263-4909
US
V. Phone/Fax
- Phone: 276-523-3111
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 11581 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 0024166579 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: