Mckinney, Bart Isaac

Mckinney, Bart Isaac is an individual health care provider with primary practice located at 3 Professional Park Dr Suite 21, Johnson City TN 37604-6529. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mckinney, Bart Isaac can be contacted via phone (423) 434-6300.

Contact Information

Primary practice address
3 Professional Park Dr Suite 21 Johnson City TN 37604-6529
Phone: (423) 434-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 45071 Tennessee
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME101817 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 45071 Tennessee

Profile Details

NPI number 1619151719
LBN Legal business name Mckinney, Bart Isaac
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated Dec 10th, 2009 - about 16 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 1619151719 NPPES
Tennessee MEDICAID 1514735

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