Cupp, Cecil Watson

Cupp, Cecil Watson is an individual health care provider with primary practice located at 3633 Central Avenue Suite D, Hot Springs AR 71913-6475. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Cupp, Cecil Watson can be contacted via phone (501) 623-6693.

Contact Information

Primary practice address
3633 Central Avenue Suite D Hot Springs AR 71913-6475
Phone: (501) 623-6693
Fax: (501) 623-9403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C5629 Arkansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E-5629 Arkansas

Profile Details

NPI number 1083604516
LBN Legal business name Cupp, Cecil Watson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Mar 7th, 2023 - about 2 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 1083604516 NPPES
Arkansas MEDICAID 109682001
Arkansas Other C5629

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