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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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