Otis, James A

Otis, James A is an individual health care provider with primary practice located at 725 Albany St Shapiro 7Th Floor, Suite 7B, Boston MA 02118-2526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Otis, James A can be contacted via phone (617) 638-8456.

Contact Information

Primary practice address
725 Albany St Shapiro 7Th Floor, Suite 7B Boston MA 02118-2526
Phone: (617) 638-8456
Fax: (617) 638-8465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 57981 Massachusetts

Profile Details

NPI number 1184687618
LBN Legal business name Otis, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jun 18th, 2014 - about 11 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 1184687618 NPPES
Massachusetts MEDICAID 110047023A

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