Cavin, Ian R

Cavin, Ian R is an individual health care provider with primary practice located at 4252 S Highland Dr Ste 200 , Salt Lake City UT 84124-2690. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cavin, Ian R can be contacted via phone (801) 965-3600.

Contact Information

Primary practice address
4252 S Highland Dr Ste 200 Salt Lake City UT 84124-2690
Phone: (801) 965-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34-00-8456 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 6446111-1204 Utah

Profile Details

NPI number 1184647315
LBN Legal business name Cavin, Ian R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Nov 18th, 2020 - about 5 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 1184647315 NPPES
Utah MEDICAID 1265638357

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