Cavett, Clinton

Cavett, Clinton is an individual health care provider with primary practice located at 8040 Clearvista Pkwy Suite 460, Indianapolis IN 46256-5630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Cavett, Clinton can be contacted via phone (317) 621-2660.

Contact Information

Primary practice address
8040 Clearvista Pkwy Suite 460 Indianapolis IN 46256-5630
Fax: (317) 621-1535
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 0101-048041 Virginia
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 01068359A Indiana

Profile Details

NPI number 1548232879
LBN Legal business name Cavett, Clinton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 8th, 2015 - about 9 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 1548232879 NPPES
Indiana Other 000000765121 ANTHEM
Indiana MEDICAID 20093210 ANTHEM
Indiana MEDICAID 6754139 ANTHEM

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