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
Fax: (603) 279-3023
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972645521 NPPES
Other 4527338 CIGNA
Other 0308269YONH01 CIGNA
MEDICAID 80008269 CIGNA

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