Cabot, Clyde A

Cabot, Clyde A is an sole proprietor health care provider with primary practice located at 831 S Rincon Rising Rd , Tucson AZ 85748-6401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Cabot, Clyde A can be contacted via phone (520) 271-8603.

Contact Information

Primary practice address
831 S Rincon Rising Rd Tucson AZ 85748-6401
Fax: (520) 885-6080
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 3868 Arizona

Profile Details

NPI number 1043329980
LBN Legal business name Cabot, Clyde A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Apr 4th, 2012 - about 13 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 1043329980 NPPES
Arizona MEDICAID 777485

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