Otis, Justin
Otis, Justin is an individual health care provider with primary practice located at 268 Stillwater Ave , Bangor ME 04401-3945. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry is his primary health care specialty. Otis, Justin can be contacted via phone (207) 973-6100.Contact Information
Primary practice address
268 Stillwater Ave
Bangor ME 04401-3945
Phone: (207) 973-6100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | MD-48057 | Iowa |
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | CDRH.0060526 | Colorado |
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | 404-320 | Wisconsin |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 404 | Wisconsin |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 404-320 | Wisconsin |
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | MD26700 | Maine |
Profile Details
NPI number | 1962817619 |
---|---|
LBN Legal business name | Otis, Justin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 20th, 2014 |
Last updated | Feb 24th, 2023 - about last year |
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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