Otis, Robert Eugene
Otis, Robert Eugene is an sole proprietor health care provider with primary practice located at 3 Lower Ladd Hill Road , Meredith NH 03253-5825. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Otis, Robert Eugene can be contacted via phone (603) 279-5556.Contact Information
Primary practice address
3 Lower Ladd Hill Road
Meredith NH 03253-5825
Phone: (603) 279-5556
Fax: (603) 279-3023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | NH175 | New Hampshire |
Profile Details
| NPI number | 1972645521 |
|---|---|
| LBN Legal business name | Otis, Robert Eugene |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Sep 29th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972645521 | NPPES |
| Other | 4527338 | CIGNA | |
| Other | 0308269YONH01 | CIGNA | |
| MEDICAID | 80008269 | CIGNA |
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