Bertuso, John R

Bertuso, John R is an individual health care provider with primary practice located at 2050 Meadowview Parkway , Kingsport TN 37660-7332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bertuso, John R can be contacted via phone (423) 230-5000.

Contact Information

Primary practice address
2050 Meadowview Parkway Kingsport TN 37660-7332
Phone: (423) 230-5000
Fax: (423) 230-5097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 18550 Tennessee

Profile Details

NPI number 1427084342
LBN Legal business name Bertuso, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Dec 3rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427084342 NPPES
Kentucky MEDICAID 060013324
Kentucky Other 621112685
Kentucky MEDICAID 3030794
Kentucky MEDICAID 600177

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